Amber Lipe Suthers
Individual provider Active NPI Health & Wellness Coach · Surgoinsville, TN
NPI 1346904570 · NPPES record last updated Oct 25, 2021
Key facts
- NPI
- 1346904570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- License
- OLCT200601 (TN)
- Practice address
- 114 Bellamy Ave
Surgoinsville, TN 37873-2700 - Phone
- (423) 345-0333
- NPI assigned
- Oct 25, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OLCT200601 | TN | MD | Health & Wellness Coach |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | OLCT200601 | TN | Yes |
Addresses
Primary practice location
114 Bellamy Ave
Surgoinsville, TN 37873-2700
Mailing address
114 Bellamy Ave
Surgoinsville, TN 37873-2700
Phone (423) 345-0333
Other providers in Surgoinsville, TN
- Melvin Blaine Jones III
- Lauren Morgan
- McKenzie Suzanne Payne
- Hannah Sawyer
- Gena Hawks Stewart
- The Clinic Surgoinsville
- Williams Drugs Inc
- John K Williams III
- Lora Hickman Williams
All providers in Surgoinsville, TN · Health & Wellness Coach in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.