Active NPI
Kay Rose, CNA
- Case Manager/Care Coordinator
- New Tazewell, TN
National Provider Identifier
1023297124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 54337
- Practice address
- 1596 Highway 33 South
New Tazewell, TN 37825 - Phone
- (423) 626-8271
- Fax
- (423) 626-0688
- NPI assigned
- Oct 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 54337 | TN | Primary |
Addresses
Primary practice location
1596 Highway 33 South
New Tazewell, TN 37825
Mailing address
Department 888182
Knoxville, TN 37995-8182
Phone (800) 355-3565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54337 | TN | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1023297124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT 888182",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379958182",
"telephone_number": "800-355-3565",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1596 HIGHWAY 33 SOUTH",
"city": "NEW TAZEWELL",
"state": "TN",
"postal_code": "37825",
"telephone_number": "423-626-8271",
"fax_number": "423-626-0688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "KAY",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-25",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TN",
"license": "54337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Tazewell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.