Lakeway Achievement Center

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

LAKEWAY ACHIEVEMENT CENTER

Practice address

320 Industrial Ave
Morristown, TN 37813-1106

Phone

(423) 586-2196

Fax

(423) 317-8880

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Bonnie Lou Guthrie, D.O

Title

Director of Operations

Phone

(423) 586-2196

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215073887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 INDUSTRIAL AVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378131106",
            "telephone_number": "423-586-2196",
            "fax_number": "423-317-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 INDUSTRIAL AVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378131106",
            "telephone_number": "423-586-2196",
            "fax_number": "423-317-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWAY ACHIEVEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "423-586-2196",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Denea Kyker
• Rosanne Marie Ladue, 163W00000X
• Hannah Christine Lafferty, DPT
• Kimberly Lafferty
• Colleen Michelle Clark Laing, NP-C
• Lakeway Ambulance Service
• Lakeway Dermatology Associates PC
• Lakeway Dermatology Associates, PC
• Lakeway Emergency Physicians, LLC
• Lakeway Regional Anesthesia Services

• Developmental Disabilities Clinic/Center in Morristown, TN
• Providers in Morristown, TN by specialty
• Developmental Disabilities Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.