Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mindy L Hazard, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1609817543

Mindy L Hazard, FNP-BC is a Nurse Practitioner in Alcoa, Tennessee. Qualified in 2004, 22 years ago. Practices with Summit Medical Group, PLLC, a 636-clinician group and accepts Medicare assignment. Licensed in Illinois and Tennessee.

Years since qualifying
22
Licensed in
IL, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

418 Marilyn Ln
Alcoa, TN 37701-2118
Phone: (865) 984-6203
Fax: (844) 689-0752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 38840 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209006014 (IL)

Record details

NPI number1609817543
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJune 10, 2006
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address1275 Dick Lonas Rd, Knoxville, TN 37909-1382

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Summit Medical Group, Pllc — 636 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Alcoa