Organization Active NPI

Dignified Healthcare

  • Nurse Practitioner
  • Hixson, TN
National Provider Identifier
1124747605
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
DIGNIFIED HEALTHCARE
Practice address
5450 Highway 153 Ste 126
Hixson, TN 37343-3791
Phone
(865) 201-7035
Fax
(865) 761-2726
NPI assigned
Aug 26, 2022
Last updated
Aug 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Kendra Porter
Title
Aprn
Phone
(865) 399-9358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

5450 Highway 153 Ste 126
Hixson, TN 37343-3791

Mailing address

5450 Highway 153 Ste 126
Hixson, TN 37343-3791
Phone (865) 201-7035

National Provider Directory

National Provider Directory

Locations

5450 Highway 153
Ste 126
Hixson, TN 37343
Phone (423) 503-2612

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1124747605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 HIGHWAY 153 STE 126",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433791",
            "telephone_number": "865-201-7035",
            "fax_number": "865-761-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 HIGHWAY 153 STE 126",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433791",
            "telephone_number": "865-201-7035",
            "fax_number": "865-761-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNIFIED HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "865-399-9358"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.