Organization Active NPI

Quality Medical Center of Union County

  • Family Nurse Practitioner
  • Corryton, TN
National Provider Identifier
1376898734
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000014690 Issued in TN
Legal business name
QUALITY MEDICAL CENTER OF UNION COUNTY
Practice address
7701 Corryton Rd
Corryton, TN 37721-2630
Phone
(865) 992-3031
Fax
(865) 992-8103
NPI assigned
Jul 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Authorized official

Name
Kristi S Walker
Title
Office Manager
Phone
(865) 992-3031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APN0000014690 TN Primary

Addresses

Primary practice location

7701 Corryton Rd
Corryton, TN 37721-2630

Mailing address

PO Box 316
Corryton, TN 37721-0316
Phone (865) 992-3031

National Provider Directory

National Provider Directory

Locations

3459 Maynardville Hwy
Maynardville, TN 37807
Phone (865) 992-3031

3459 Maynardville Hwy
Unit A
Maynardville, TN 37807

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5517/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1376898734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377210316",
            "telephone_number": "865-992-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 CORRYTON RD",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377212630",
            "telephone_number": "865-992-3031",
            "fax_number": "865-992-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY MEDICAL CENTER OF UNION COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-992-3031"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000014690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corryton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.