Individual provider Active NPI

Donita L Lunghofer

  • Licensed Practical Nurse
  • Greeneville, TN
National Provider Identifier
1366644940
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN0000014545 Issued in TN
Practice address
810 W Church St
Greeneville, TN 37745-3285
Phone
(423) 798-1749
Fax
(423) 798-1755
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN0000014545 TN Primary

Addresses

Primary practice location

810 W Church St
Greeneville, TN 37745-3285

Mailing address

1991 S Allens Bridge Rd
Greeneville, TN 37743-7000
Phone (423) 638-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN0000014545TNMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366644940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 S ALLENS BRIDGE RD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377437000",
            "telephone_number": "423-638-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W CHURCH ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453285",
            "telephone_number": "423-798-1749",
            "fax_number": "423-798-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNGHOFER",
        "first_name": "DONITA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "LPN0000014545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.