Judith C Bryson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5462 Issued in TN

Practice address

905 E Central Ave
La Follette, TN 37766-2768

Phone

(423) 907-1600

Fax

(423) 907-1646

NPI assigned

Mar 21, 2006

Last updated

Jul 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Judith C Gordon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Attentus of Scott County, LLC

  dba Scott County Primary Care Clinic

  • Family Nurse Practitioner
  • Oneida, TN
  • NPI 1528029683
  NPD (past)
• Campbell County Hma LLC

  dba Tennova Primary Care Caryville

  • Rural Health Clinic/Center
  • Caryville, TN
  • NPI 1023613361
  NPD (past)
• St. Mary's Medical Center of Campbell County, Inc.

  • General Acute Care Hospital
  • La Follette, TN
  • NPI 1366423782
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1023077815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E CENTRAL AVE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662768",
            "telephone_number": "423-907-1600",
            "fax_number": "423-907-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E CENTRAL AVE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662768",
            "telephone_number": "423-907-1600",
            "fax_number": "423-907-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "JUDITH",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "5462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508799",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "GORDON",
            "middle_name": "C",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olivia A Bonds, M.S
• Caitlin Marie Boshears, COTA/L
• Hannah Marissa Bray, PHARMD
• Tristan Faith Brock, COTA/L
• Mallory Jo Brooks, NP
• Tammy Denise Buckner, RPH
• Lindsey Presley Bull, DO
• John S Burrell, M.D.
• Gary Adam Byrd
• Johnny M Byrge

• Family Nurse Practitioner in La Follette, TN
• Providers in La Follette, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.