Vivid Path LLC
NPI 1356136501 · Psychiatric/Mental Health Nurse Practitioner · Knoxville, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vivid Path LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Knoxville, TN (NPI 1356136501).
Provider details
- NPI number
- 1356136501
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Amber Jordan, Owner(865) 217-6080
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-10
- Last updated
- 2025-10-03
- Certified
- 2025-10-03
Frequently asked questions
- What is Vivid Path LLC's NPI number?
- Vivid Path LLC's National Provider Identifier (NPI) is 1356136501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vivid Path LLC?
- Vivid Path LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Vivid Path LLC located?
- Vivid Path LLC's practice location on file with NPPES is 9050 Executive Park Dr Ste 109a, Knoxville, TN 37923-4669.
- What is Vivid Path LLC's phone number?
- The practice phone number listed in the NPPES registry for Vivid Path LLC is (865) 217-6080.
- Does Vivid Path LLC accept Medicare?
- Vivid Path LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vivid Path LLC?
- The authorized official listed on Vivid Path LLC's NPPES record is Amber Jordan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vivid Path LLC's NPI active?
- Yes — Vivid Path LLC's NPI (1356136501) is active in the NPPES registry as of the last update on 2025-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.