Organization Active NPI

Asbury, Inc.

Doing business as Asbury Place Kingsport

  • Skilled Nursing Facility
  • Kingsport, TN
National Provider Identifier
1073671707
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000123 Issued in TN
Legal business name
ASBURY, INC.
Doing business as
Asbury Place Kingsport
Practice address
100 Netherland LN
Kingsport, TN 37660-7245
Phone
(423) 245-0360
Fax
(423) 245-8957
NPI assigned
Dec 5, 2006
Last updated
Jan 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Mrs. Marjorie Shonnard
Title
VP of Operations
Phone
(423) 245-0360

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0000000123 TN
Skilled Nursing Facility 314000000X 0000000123 TN Primary

Addresses

Primary practice location

100 Netherland LN
Kingsport, TN 37660-7245

Mailing address

100 Netherland LN
Kingsport, TN 37660-7245
Phone (423) 245-0360

Other names 1

  • ASBURY PLACE KINGSPORT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1073671707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NETHERLAND LN",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607245",
            "telephone_number": "423-245-0360",
            "fax_number": "423-245-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NETHERLAND LN",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607245",
            "telephone_number": "423-245-0360",
            "fax_number": "423-245-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASBURY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "SHONNARD",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "423-245-0360",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0000000123",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASBURY PLACE KINGSPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 19, 2010; 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.