Pointe Medical PLLC
Organization Active NPI Family Nurse Practitioner · Oliver Springs, TN
NPI 1366918930 · NPPES record last updated Aug 1, 2023
Key facts
- NPI
- 1366918930
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- POINTE MEDICAL PLLC
- Practice address
- 705 Main Street
2
Oliver Springs, TN 37840-1761 - Phone
- (865) 280-1466
- Fax
- (865) 285-9701
- NPI assigned
- Oct 22, 2018
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lanita Deboard, FNP
- Title
- Owner
- Phone
- (865) 280-1466
Practitioners 3
-
Lanita Debord, APRN, FNP-C
-
Tersa L Lively, DO
-
Derek Beau Allen, LPN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2157479 | Pointe Medical | Certificate of waiver | Nov 5, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181130002717 | TN | Part B Supplier - Clinic/Group Practice | 0547504516 |
Receives reassigned benefits from 1 practitioner Practice locations: Harriman, TN |
National Provider Directory
Locations
401 Devonia St
Harriman, TN 37748
Phone (865) 280-1466
705 Main St
Ste 2
Oliver Springs, TN 37840
Phone (865) 280-1466
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
705 Main Street
2
Oliver Springs, TN 37840-1761
Mailing address
705 Main Street
2
Oliver Springs, TN 37840
Phone (865) 280-1466
Other providers in Oliver Springs, TN
- Karen Ernestine Neal
- Oliver Springs Walk-in Medical Center
- One Heart Primary Care, PLLC
- One Heart Primary Care, PLLC
- Divyesh M Patel
- Jolee Mae Range
- Recovery House of East Tennessee
- Jason Benjamin Robinson
- Haley Ann Russell
- Toby H Russell
All providers in Oliver Springs, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.