Active NPI
Elizabeth Ann Honeycutt-Martin
- Ambulatory Care Registered Nurse
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- 0000030374
- Practice address
- 307 Harbor Approach
Johnson City, TN 37601-3147 - Phone
- (423) 426-6296
- NPI assigned
- Jan 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 0000030374 | TN | Primary |
Addresses
Primary practice location
307 Harbor Approach
Johnson City, TN 37601-3147
Mailing address
307 Harbor Approach
Johnson City, TN 37601-3147
Phone (423) 426-6296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 W Stone Dr
Kingsport, TN 37660-6027
6419 Bristol Hwy
Piney Flats, TN 37686-5208
Phone (423) 538-5202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000030374 | TN | MD | Ambulatory Care Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emmaus Community Healthcare, PLLC | Multi-Specialty | Current | Accepting new patients |
| Southeastern Physician Services PC | Multi-Specialty | Current | Accepting new patients |
| Wellmont Health System | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Multi-Specialty | Current | Accepting new patients |
| Wellmont Medical Associates Inc | Multi-Specialty | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Multi-Specialty | Past | Accepting new patients |
Locations
2686 W State St
Bristol, TN 37620
Phone (423) 844-0026
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
6419 Bristol Hwy
Piney Flats, TN 37686
Phone (423) 391-1130
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- ehoneycuttmartin272300@balladhealth.medalliesdirect.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
Multi-Specialty
-
- General Practice Physician
- Piney Flats, TN
- NPI 1356379093
Multi-Specialty
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Multi-Specialty
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
Multi-Specialty
-
- Cardiovascular Disease Physician
- Johnson City, TN
- NPI 1740227131
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643414400000",
"number": "1346993482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 HARBOR APPROACH",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376013147",
"telephone_number": "423-426-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 HARBOR APPROACH",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376013147",
"telephone_number": "423-426-6296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONEYCUTT-MARTIN",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-29",
"last_updated": "2022-01-29",
"certification_date": "2022-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Ambulatory Care",
"state": "TN",
"license": "0000030374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.