Active NPI
Ailene Fay Radcliffe, LMT
- Community Health Worker
- Oak Ridge, TN
National Provider Identifier
1386889301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 0000003279
- Practice address
- 665 Emory Valley Rd
Ste. a
Oak Ridge, TN 37830-7762 - Phone
- (865) 482-0981
- Fax
- (865) 482-0959
- NPI assigned
- Dec 4, 2008
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 0000003279 | TN | Primary |
Addresses
Primary practice location
665 Emory Valley Rd
Ste. a
Oak Ridge, TN 37830-7762
Mailing address
251 Arrowhead TRL
Kingston, TN 37763-7003
Phone (865) 406-1143
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000003279 | TN | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228348800000",
"number": "1386889301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 ARROWHEAD TRL",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377637003",
"telephone_number": "865-406-1143",
"fax_number": "865-482-0959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 EMORY VALLEY RD",
"address_2": "STE. A",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378307762",
"telephone_number": "865-482-0981",
"fax_number": "865-482-0959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADCLIFFE",
"first_name": "AILENE",
"middle_name": "FAY",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-04",
"last_updated": "2008-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TN",
"license": "0000003279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.