Individual provider Active NPI

Riann J Burroughs, FNP

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1366034969
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29048 Issued in TN
Practice address
10461 Wallace Alley St
Kingsport, TN 37663-3936
Phone
(234) 279-1400
Fax
(423) 279-1410
NPI assigned
Feb 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29048 TN Primary

Addresses

Primary practice location

10461 Wallace Alley St
Kingsport, TN 37663-3936

Mailing address

10461 Wallace Alley St
Kingsport, TN 37663-3936
Phone (234) 279-1400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302001031 TN Practitioner - Nurse Practitioner 0941616825 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Tri-Cities Gastroenterology LLCGroup PAC ID 1658354865, 4 clinicians
Mountain Region Speech and Hearing CenterGroup PAC ID 8628003589, 17 clinicians

Practice addresses (Care Compare)

10461 Wallace Alley St
Kingsport, TN 37663-3936
Phone (423) 279-1400

301 Louis St
Suite 101
Kingsport, TN 37660-5195
Phone (423) 246-4600

Hospital & facility affiliations

  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Sycamore Shoals Hospital Hospital, Elizabethton, TN, CCN 440018
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063
  • Franklin Woods Community Hospital Hospital, Johnson City, TN, CCN 440184

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Feb 16, 2021 Accepting new patients
Tri-Cities Gastroenterology LLC CurrentSince May 3, 2021 Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 16, 2021 Accepting new patients

Locations

1500 W Elk Ave
Ste 103
Elizabethton, TN 37643
Phone (423) 542-6055

105 Gay St
Erwin, TN 37650
Phone (423) 279-1400

1140 Tusculum Blvd
Greeneville, TN 37745
Phone (423) 525-5262

555 Justis Dr
Greeneville, TN 37745
Phone (423) 783-7965

1001 Tusculum Blvd
Greeneville, TN 37745
Phone (423) 972-4770

2333 Knob Creek Rd
Ste 15
Johnson City, TN 37604

10461 Wallace Alley St
Kingsport, TN 37663
Phone (423) 279-1400

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1366034969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10461 WALLACE ALLEY ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376633936",
            "telephone_number": "234-279-1400",
            "fax_number": "423-279-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10461 WALLACE ALLEY ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376633936",
            "telephone_number": "234-279-1400",
            "fax_number": "423-279-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "RIANN",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.