Sullivan County Regional Health Dept.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

018037 Issued in TN

Legal business name

SULLIVAN COUNTY REGIONAL HEALTH DEPT.

Practice address

282 Maple St
Bluff City, TN 37618-2815

Phone

(423) 354-1825

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Alisa Hearl

Title

Supervisor

Phone

(423) 354-1043

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1114113016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 MAPLE ST",
            "city": "BLUFF CITY",
            "state": "TN",
            "postal_code": "376182815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 MAPLE ST",
            "city": "BLUFF CITY",
            "state": "TN",
            "postal_code": "376182815",
            "telephone_number": "423-354-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN COUNTY REGIONAL HEALTH DEPT.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "HEARL",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "423-354-1043"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": "018037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaushal Patel, DDS
• Catherine H Powers, FNP
• Rural Health Services Consortium of Upper East Tennessee Inc
• Jonathan Todd Simmons, RN
• Tina Marie Smith, FNP
• Deepika A Tumkur, MD
• Jamie Bare Vance, APRN
• Angela Ward
• Katherine D Zimmerman, DVM

• All providers in Bluff City, TN
• Student in an Organized Health Care Education/Training Program in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.