First Med of Rogersville

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

APN0000012816 Issued in TN

Legal business name

FIRST MED OF ROGERSVILLE

Practice address

482 Park Blvd
Suite 1
Rogersville, TN 37857-6927

Phone

(423) 293-3366

NPI assigned

Jul 13, 2015

Last updated

Jul 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Evans

Title

Family Nurse Practioner

Phone

(423) 921-4060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1104200849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 PARK BLVD",
            "address_2": "SUITE 1",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378576927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 PARK BLVD",
            "address_2": "SUITE 1",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378576927",
            "telephone_number": "423-293-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MED OF ROGERSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTIONER",
        "authorized_official_telephone_number": "423-921-4060"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TN",
            "license": "APN0000012816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Rogersville, TN
• Providers in Rogersville, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.