Organization Active NPI

Sullivan County Regional Health Department

  • Registered Nurse
  • Blountville, TN
National Provider Identifier
1134494297
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001231487 Issued in VA
Legal business name
SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT
Practice address
154 Blountville Byp
Blountville, TN 37617-4575
Phone
(423) 279-2777
NPI assigned
Mar 21, 2012
Last updated
Mar 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Andrew Stephen May, MD
Title
Medical Director
Phone
(423) 279-2777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001231487 VA Primary

Addresses

Primary practice location

154 Blountville Byp
Blountville, TN 37617-4575

Mailing address

154 Blountville Byp
Blountville, TN 37617-4575

National Provider Directory

National Provider Directory
Tax ID family
County of Sullivan7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1134494297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 BLOUNTVILLE BYP",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376174575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 BLOUNTVILLE BYP",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376174575",
            "telephone_number": "423-279-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "423-279-2777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001231487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blountville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.