Individual provider

Khairunnissa Jooma, DNP/PMHNP-BC/LPC

Psychiatric/Mental Health Nurse Practitioner Professional Counselor Medicare enrolled

Khairunnissa Jooma, DNP/PMHNP-BC/LPC is a Psychiatric/Mental Health Nurse Practitioner in Knoxville, TN, registered under NPI 1639102791. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 9041 EXECUTIVE PARK DR STE 275B, Knoxville, TN 37923. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

9041 EXECUTIVE PARK DR STE 275B, Knoxville, TN 37923 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
APN0000013348 TN Psychiatric/Mental Health Nurse… primary
LPC 1953 TN Professional Counselor

This provider holds licence APN0000013348 issued in TN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
3173675741

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health APN0000013348 TN primary
101YP2500X Professional Counselor Professional LPC 1953 TN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1639102791 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 9, 2006
Last updatedDec 6, 2024
StatusActive
Sole proprietorNo
CredentialDNP/PMHNP-BC/LPC
Practice address 9041 EXECUTIVE PARK DR STE 275B
Knoxville, TN 37923
(865) 338-5384
Fax (865) 338-5383
Mailing address 91 HARBOR POINTE WAY
Knoxville, TN 37922
Other identifiers 5441854 (TN)
P00967911 · RAILROAD MEDICARE (TN)
This record was updated on Dec 6, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1639102791 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 3 9 1 0 2 7 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 6 9 2 0 4 7 9

Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1639102791?
NPI 1639102791 is the National Provider Identifier assigned to Khairunnissa Jooma, DNP/PMHNP-BC/LPC in Knoxville, TN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact Khairunnissa Jooma, DNP/PMHNP-BC/LPC?
The phone number on file with NPPES is (865) 338-5384, last updated Dec 6, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Khairunnissa Jooma, DNP/PMHNP-BC/LPC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1639102791 a valid number?
Yes. 1639102791 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.