NPIMap

Organization Active NPI

Frontier Health

  • Community/Behavioral Health Agency
  • Johnson City, TN
National Provider Identifier
1174005276
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
L000000022681 Issued in TN
Legal business name
FRONTIER HEALTH
Practice address
210 Quarry Rd
Johnson City, TN 37601-7580
Phone
(423) 232-7234
Fax
(423) 467-3644
NPI assigned
Sep 5, 2018
Organization subpart
Yes
Parent organization
FRONTIER HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Robin Denise Denton, BSOM
Title
Um Coordinator
Phone
(423) 467-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X L000000022681 TN Primary

Addresses

Primary practice location

210 Quarry Rd
Johnson City, TN 37601-7580

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600

Other names 1

  • CRISIS TRIAGE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lee County Integrated Care62 organizations share this tax ID, including this one
Part of
Lee County Integrated Care

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1174005276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DR",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "423-467-3600",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 QUARRY RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017580",
            "telephone_number": "423-232-7234",
            "fax_number": "423-467-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRONTIER HEALTH",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "UM COORDINATOR",
        "authorized_official_telephone_number": "423-467-3600",
        "authorized_official_credential": "BSOM"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "L000000022681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRISIS TRIAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.