Individual provider Active NPI

Tina Marie Attlee, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Ringgold, GA
National Provider Identifier
1265030605
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
RN0000095554 Issued in TN
Practice address
4083 Cloud Springs Rd
Ringgold, GA 30736-8411
Phone
(706) 820-6087
Fax
(706) 956-8171
NPI assigned
Oct 16, 2020
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN0000095554 TN Primary

Addresses

Primary practice location

4083 Cloud Springs Rd
Ringgold, GA 30736-8411

Mailing address

919 Sunny Dell Circle Chattanooga TN 37412
4083 Cloud Springs Road
Ringgold, GA 30736
Phone (706) 820-6087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0000095554TNMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1265030605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 SUNNY DELL CIRCLE CHATTANOOGA TN 37412",
            "address_2": "4083 CLOUD SPRINGS ROAD",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "30736",
            "telephone_number": "706-820-6087",
            "fax_number": "706-956-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4083 CLOUD SPRINGS RD",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368411",
            "telephone_number": "706-820-6087",
            "fax_number": "706-956-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTLEE",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "RN0000095554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.