Cumberland Gap Medical

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000016605 Issued in TN

Legal business name

CUMBERLAND GAP MEDICAL

Practice address

502 W Central Ave
Suite 2
La Follette, TN 37766-3400

Phone

(423) 201-9799

Fax

(423) 437-8162

NPI assigned

Feb 12, 2014

Last updated

Feb 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Sue Collins, NP

Title

Nurse Practitioner

Phone

(423) 201-9799

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1336563204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W CENTRAL AVE",
            "address_2": "SUITE 2",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663400",
            "telephone_number": "423-201-9799",
            "fax_number": "423-437-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W CENTRAL AVE",
            "address_2": "SUITE 2",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663400",
            "telephone_number": "423-201-9799",
            "fax_number": "423-437-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND GAP MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "423-201-9799",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000016605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Rural Healthcare and Medical Center PLLC
• Stephanie Conder, DNP, FNP-BC
• County of Campbell
• Amy L Crabtree, LCSW
• Rhonda S. Cross, LCSW
• Samantha C. Davenport
• Ashley N Davis, COTA/L
• Murugesen Dhandapani, M.D.
• Sheila Joyce Dill
• Sarah Beth Douglas, OTR/L

• Family Nurse Practitioner in La Follette, TN
• Providers in La Follette, 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 Feb 12, 2014; 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.