Morristown Hamblen Hospital

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2006007170 Issued in TN

Legal business name

MORRISTOWN HAMBLEN HOSPITAL

Practice address

1621 W Morris Blvd
Suite B
Morristown, TN 37813-2832

Phone

(423) 587-2443

Fax

(423) 586-9988

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark S Thompson, CFO

Title

Cheif Financial Officer

Phone

(423) 587-2443

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Prompt Family Care Doing business as

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285735480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 W MORRIS BLVD",
            "address_2": "SUITE B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132832",
            "telephone_number": "423-587-2443",
            "fax_number": "423-586-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W MORRIS BLVD",
            "address_2": "SUITE B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132832",
            "telephone_number": "423-587-2443",
            "fax_number": "423-586-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISTOWN HAMBLEN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "423-587-2443",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "2006007170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE STATE TN",
            "identifier": "RN0000150381",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2006007170",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prompt Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morristown Hamblen Emergency Medical Services
• Morristown Hamblen Hosp
• Morristown Hamblen Hosp
• Morristown Hamblen Hosp
• Morristown Hamblen Hospital
• Morristown Hamblen Hospital
• Morristown Hamblen Hospital
• Morristown Hamblen Hospital
• Morristown Hamblen Hospital
• Morristown Hamblen Hospital

• Family Nurse Practitioner in Morristown, TN
• Providers in Morristown, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.