Active NPI
Complete Family Care, LLC
- Family Nurse Practitioner
- Morristown, TN
National Provider Identifier
1114643228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- COMPLETE FAMILY CARE, LLC
- Practice address
- 119 N Daisy St
Morristown, TN 37814-4703 - Phone
- (423) 839-0820
- Fax
- (833) 699-2184
- NPI assigned
- Oct 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christy Boggs
- Title
- Family Nurse Practitioner
- Phone
- (865) 283-0187
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
119 N Daisy St
Morristown, TN 37814-4703
Mailing address
119 N Daisy St
Morristown, TN 37814-4703
Phone (423) 839-0820
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | athena.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2270732 | Complete Family Care, LLC | Certificate of waiver | Oct 19, 2026 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/26211/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Morristown, TN
- NPI 1538301833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666137600000",
"number": "1114643228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 N DAISY ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378144703",
"telephone_number": "423-839-0820",
"fax_number": "833-699-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 N DAISY ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378144703",
"telephone_number": "423-839-0820",
"fax_number": "833-699-2184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE FAMILY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A",
"authorized_official_last_name": "BOGGS",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "865-283-0187"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "athena.com",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "119 N Daisy St",
"city": "Morristown",
"state": "TN",
"country_code": "US",
"postal_code": "378144703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.