Active NPI
Pediatric Ear, Nose & Throat Associates, P.C.
- Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1154731917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 18690
- Legal business name
- PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C.
- Practice address
- 2100 W Clinch Ave
Ste 330
Knoxville, TN 37916-2219 - Phone
- (865) 673-8229
- NPI assigned
- May 2, 2014
- Organization subpart
- Yes
- Parent organization
- PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joe Graves, M.D.
- Title
- Medical Doctor
- Phone
- (865) 673-8229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 18690 | TN | Primary |
Addresses
Primary practice location
2100 W Clinch Ave
Ste 330
Knoxville, TN 37916-2219
Mailing address
2100 W. Clinch Avenue
Ste 330
Knoxville, TN 37916
Phone (865) 673-8229
National Provider Directory
National Provider Directory- Tax ID family
- Pediatric Ear Nose TH
- Part of
- Pediatric Ear Nose TH
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Knoxville, TN
- NPI 1982987830
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Specialist
- Knoxville, TN
- NPI 1982987830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398988800000",
"number": "1154731917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W. CLINCH AVENUE",
"address_2": "STE 330",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37916",
"telephone_number": "865-673-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W CLINCH AVE",
"address_2": "STE 330",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162219",
"telephone_number": "865-673-8229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C.",
"enumeration_date": "2014-05-02",
"last_updated": "2014-05-02",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "JOE",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "865-673-8229",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "18690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
- Pediatric Consultants of East Tennessee
- Pediatric Consultants West
- Pediatric Consultants, Inc
- Pediatric Dental Partners
- Pediatric Dentistry PC
- Pediatric Ear, Nose & Throat Associates, P.C.
- Pediatric Gastroenterology and Nutritional Support, P.C.
- Pediatric Otolaryngology Head and Neck Surgery,PLLC
- Pediatric Professionals Farragut
- Joseph Noble Peeden Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.