Individual provider Active NPI

Angela M Lundy, NP

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1043937550
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30436 Issued in TN
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221116000125 VA Practitioner - Nurse Practitioner 5890163299 Reassigns benefits to 2 organizations
I20230928001550 TN Practitioner - Nurse Practitioner 5890163299 Reassigns benefits to 1 organization

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
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians

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

LicenseStateTypeSpecialty
24183221VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC CurrentSince Nov 4, 2023 Accepting new patients
Community Health Clinic, PC CurrentSince Nov 1, 2022 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Nov 5, 2023 Accepting new patients
Diagnostic Imaging Associates Past Accepting new patients
Community Health Clinic PC PastSince Oct 30, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.