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

Organization subpart

No

Name

Laura Evans

Title

Family Nurse Practioner

Phone

(423) 921-4060

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2015.

{
    "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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• All providers in Rogersville, TN
• 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.