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

Van Tyler Blackaby, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1205272010

Van Tyler Blackaby, PMHNP-BC is a Nurse Practitioner in Knoxville, Tennessee. Qualified in 2023, 3 years ago. Practices with Cherokee Health Systems, a 126-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2013
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

2018 Western Ave
Knoxville, TN 37921-5718
Phone: (865) 544-0406
Fax: (865) 544-0480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 W Springdale Ave, Knoxville, TN 37917-5158 — (865) 637-9711

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 36184 (TN)

Record details

NPI number1205272010
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMay 20, 2013
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cherokee Health Systems — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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