State of Tennessee

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

STATE OF TENNESSEE

Doing business as

Northeast Tennessee Regional Health Office

Practice address

185 Treasure Lane
Johnson City, TN 37604

Phone

(423) 979-3200

Fax

(423) 979-3267

NPI assigned

Jan 26, 2007

Last updated

Nov 18, 2016By 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

Mrs. Rebekah English, RN

Title

Regional Director

Phone

(423) 979-3200

Specialties & licenses 1

Addresses

Other names 1

• Northeast Tennessee Regional Health Office Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Tax ID family

Kingsport Health Center202 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

• Arlington Developmental Center Pharmacy

  • Long Term Care Pharmacy
  • Arlington, TN
  • NPI 1205968989
  NPD tax ID
• Clover Bottom Dev. Center

  • Intellectual Disabilities Intermediate Care Facility
  • Nashville, TN
  • NPI 1285775874
  NPD tax ID
• Earhart #2

  dba Middle Tennessee Homes

  • Intellectual Disabilities Intermediate Care Facility
  • Nashville, TN
  • NPI 1245660976
  NPD tax ID
• Joseph L Hadden DDS

  • Public Health Dentistry
  • Morristown, TN
  • NPI 1245217918
  NPD tax ID
• Middle Tennessee Homes

  • Intellectual Disabilities Intermediate Care Facility
  • Old Hickory, TN
  • NPI 1255712832
  NPD tax ID
• State of Tennessee

  dba Claiborne County Health Department

  • Public Health or Welfare Agency
  • New Tazewell, TN
  • NPI 1184762163
  NPD tax ID
• State of Tennessee

  dba McNairy County Health Department

  • Public Health or Welfare Agency
  • Selmer, TN
  • NPI 1184774333
  NPD tax ID
• State of Tennessee

  dba Chester County Health Department

  • Public Health or Welfare Agency
  • Henderson, TN
  • NPI 1184774358
  NPD tax ID
• State of Tennessee

  dba Montgomery County Health Department

  • Public Health or Welfare Agency
  • Clarksville, TN
  • NPI 1194878629
  NPD tax ID
• State of Tennessee

  dba Dickson County-White Bluff Clinic

  • Public Health or Welfare Agency
  • White Bluff, TN
  • NPI 1205988144
  NPD tax ID
• State of Tennessee

  dba Trousdale County Health Department

  • Public Health or Welfare Agency
  • Hartsville, TN
  • NPI 1205989027
  NPD tax ID
• State of Tennessee

  dba DIDD East TN Community Homes

  • Intellectual Disabilities Intermediate Care Facility
  • Greeneville, TN
  • NPI 1215200118
  NPD tax ID

All facility ownership & control disclosures 18

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Louis Kirschke, MD

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1861550667
  Medicare reassignment NPD

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1245386010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 TREASURE LANE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-979-3200",
            "fax_number": "423-979-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 TREASURE LANE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-979-3200",
            "fax_number": "423-979-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "423-979-3200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Tennessee Regional Health Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Lynne Starr, DNP, APRN
• Janet Florence Stastny, DO
• State of Franklin Healthcare Associates PLLC
• State of Franklin Healthcare Associates PLLC
• State of Tennessee (NE Tennessee Mobil Dental Unit)
• State of Tennessee (Washington County Health Department)
• State of Tennessee (NE Tenn CSS Health Dept.)
• State of Tennessee (N E Regional Health Office)
• Aaron Stavrakis, MD
• Alexandra M Steadman-Cowan, NP

• Public Health or Welfare Agency in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Public Health or Welfare Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.