Betty Carol Fields, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN0000011561 Issued in TN

Practice address

247 Silver Lake Rd
Church Hill, TN 37642-3516

Phone

(423) 357-5341

Fax

(423) 357-2231

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194866400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 OLD STAGE RD",
            "address_2": "APT. 7",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "376423435",
            "telephone_number": "423-416-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 SILVER LAKE RD",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "376423516",
            "telephone_number": "423-357-5341",
            "fax_number": "423-357-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "BETTY",
        "middle_name": "CAROL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "LPN0000011561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa Story Gilreath, RD, LDN, CDE
• Amanda Nicole Grimes, RN
• Jeffrey David Hartwell, D.C.
• John Eugene Henard, DC

• Licensed Practical Nurse in Church Hill, TN
• Providers in Church Hill, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.