Organization Active NPI

Spine and Medical Associates of Roane County

Doing business as Roane Healthcare Professionals

  • Family Nurse Practitioner
  • Harriman, TN
National Provider Identifier
1245546571
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.