Active NPI
Spine and Medical Associates of Roane County
Doing business as Roane Healthcare Professionals
- Family Nurse Practitioner
- Harriman, TN
National Provider Identifier
1245546571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SPINE AND MEDICAL ASSOCIATES OF ROANE COUNTY
- Doing business as
- Roane Healthcare Professionals
- Practice address
- 1208 S Roane St
Harriman, TN 37748-7420 - Phone
- (865) 882-3667
- Fax
- (865) 882-3664
- NPI assigned
- Aug 24, 2010
- Last updated
- Aug 24, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matt Anderson
- Title
- Secretary
- Phone
- (865) 882-3667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
1208 S Roane St
Harriman, TN 37748-7420
Mailing address
1208 S Roane St
P O Box 585
Harriman, TN 37748-7420
Phone (865) 882-3667
Other names 1
- ROANE HEALTHCARE PROFESSIONALS
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Harriman, TN
- NPI 1750377826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282608000000",
"number": "1245546571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 S ROANE ST",
"address_2": "P O BOX 585",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "377487420",
"telephone_number": "865-882-3667",
"fax_number": "865-882-3664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 S ROANE ST",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "377487420",
"telephone_number": "865-882-3667",
"fax_number": "865-882-3664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE AND MEDICAL ASSOCIATES OF ROANE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-24",
"last_updated": "2010-08-24",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "865-882-3667"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ROANE HEALTHCARE PROFESSIONALS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harriman, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.