Individual provider · Type 1 NPI

Emily Distasio

Registered Nurse · Knoxville, TN

NPI number 1194645440 Active

Practice location

5302 Ball Camp Pike
Knoxville, TN 37921-3234

Mailing address

200 Tech Center Dr
Knoxville, TN 37912-2747

Other practice locations

  • 1515 Saint Mary St, Knoxville, TN 37917-4514 · (865) 213-1550

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X250444 (TN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1194645440

Emily Distasio's National Provider Identifier is 1194645440, issued on Jul 17, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Knoxville, TN. The record was last updated on Jul 17, 2026.