Individual provider Active NPI

Seth M McLaughlin, FNP NP-C

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1013073592
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18293 Issued in TN
Practice address
926 W Oakland Ave Ste 208
Johnson City, TN 37604-1445
Phone
(423) 952-5300
Fax
(423) 402-8557
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18293 TN Primary

Addresses

Primary practice location

926 W Oakland Ave Ste 208
Johnson City, TN 37604-1445

Mailing address

926 W Oakland Ave Ste 110
Johnson City, TN 37604-1403
Phone (423) 952-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203002245 TN Order and Referring Only - Nurse Practitioner 0345544862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Appalchain Skin and Lasar Dba Ageless Skin and Laser Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1013073592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 W OAKLAND AVE STE 110",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041403",
            "telephone_number": "423-952-5300",
            "fax_number": "423-402-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 W OAKLAND AVE STE 208",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041445",
            "telephone_number": "423-952-5300",
            "fax_number": "423-402-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "SETH",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "FNP NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.