Active NPI
Angela M Lundy, NP
- Family Nurse Practitioner
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 30436
- Practice address
- 444 Clinchfield St Ste 2500
Kingsport, TN 37660-3858 - Phone
- (423) 230-2500
- Fax
- (423) 239-7502
- NPI assigned
- Oct 25, 2022
- Last updated
- Sep 10, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 30436 | TN | Primary |
| Family Nurse Practitioner | 363LF0000X | 24183221 | VA |
Addresses
Primary practice location
444 Clinchfield St Ste 2500
Kingsport, TN 37660-3858
Mailing address
PO Box 632476
Cincinnati, OH 45263-2476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1242 W Shipley Ferry Rd
Kingsport, TN 37663-3323
Phone (423) 239-7300
390 Kane St
Gate City, VA 24251-2753
Phone (276) 386-3411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24183221 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Franklin Healthcare Associates PLLC | Current | Accepting new patients | |
| Community Health Clinic, PC | Current | Accepting new patients | |
| State of Franklin Healthcare Associates PLLC | Current | Accepting new patients | |
| Diagnostic Imaging Associates | Past | Accepting new patients | |
| Community Health Clinic PC | Past | Accepting new patients |
Locations
313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819
1242 W Shipley Ferry Rd
Kingsport, TN 37663
Phone (423) 239-7300
444 Clinchfield St
Ste 2500
Kingsport, TN 37660
Phone (423) 230-2500
390 Kane St
Gate City, VA 24251
Phone (276) 386-3411
1957 2nd St
Richlands, VA 24641
Phone (276) 873-6300
Interoperability endpoints
- https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1063459410
VA
-
- Clinical Medical Laboratory
- Honaker, VA
- NPI 1669674685
-
- Clinical Medical Laboratory
- Johnson City, TN
- NPI 1841846136
-
- Rural Health Clinic/Center
- Honaker, VA
- NPI 1154345957
-
- Diagnostic Radiology Physician
- Richlands, VA
- NPI 1114012671
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health
- Home Health Agency
- Johnson City, TN
- NPI 1942258769
-
dba Indian Path Community Hospital
- General Acute Care Hospital
- Kingsport, TN
- NPI 1992813240
-
dba Holston Valley Medical Center
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1043937550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632476",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 CLINCHFIELD ST STE 2500",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603858",
"telephone_number": "423-230-2500",
"fax_number": "423-239-7502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDY",
"first_name": "ANGELA",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-25",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "30436",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "24183221",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.