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

Tiffany T Pendergrass, FNP

Individual provider Nurse Practitioner · NPI 1194418939

Tiffany T Pendergrass, FNP is a Nurse Practitioner in Lenoir City, Tennessee. Qualified in 2022, 4 years ago. Practices with Knoxville Nephrology Associates, LLC, a 4-clinician group. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

689 Medical Park Dr Ste 201
Lenoir City, TN 37772-5797
Phone: (865) 988-6575
Fax: (865) 988-6066
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 32294 (TN)

Record details

NPI number1194418939
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 29, 2023
Last updated in NPPESMay 29, 2023
Certification dateMay 29, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Knoxville Nephrology Associates, Llc — 4 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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