Organization Active NPI

Cancer Risk Associates PLLC

  • Acute Care Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1285277046
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
CANCER RISK ASSOCIATES PLLC
Practice address
110 Dunhill PL NW Ste a
Cleveland, TN 37311-3870
Phone
(423) 541-6195
NPI assigned
Oct 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Catherine Marcum, APN
Title
Apn
Phone
(423) 541-6195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X Primary

Addresses

Primary practice location

110 Dunhill PL NW Ste a
Cleveland, TN 37311-3870

Mailing address

PO Box 22464
Chattanooga, TN 37422-2464
Phone (706) 271-0100

Other practice location 1

320 E Main St Ste 100
Chattanooga, TN 37408-1533
Phone (423) 541-6195

National Provider Directory

National Provider Directory

Locations

443 Gillum Dr
Ste 1
Dalton, GA 30721

110 Dunhill Pl NW
Ste A
Cleveland, TN 37311
Phone (423) 541-6195

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1285277046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22464",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374222464",
            "telephone_number": "706-271-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DUNHILL PL NW STE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113870",
            "telephone_number": "423-541-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374081533",
            "country_code": "US",
            "telephone_number": "423-541-6195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CANCER RISK ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "MARCUM",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "423-541-6195",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.