NPIMap

Organization Active NPI

Covenant Allergy and Asthma Care PLLC

  • Allergy & Immunology Physician
  • Chattanooga, TN
National Provider Identifier
1396994802
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
COVENANT ALLERGY AND ASTHMA CARE PLLC
Practice address
1350 Mackey Branch Dr
Suite 114
Chattanooga, TN 37421-3482
Phone
(423) 468-3267
Fax
(423) 468-3270
NPI assigned
Sep 9, 2008
Last updated
May 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Susan P Raschal, D.O.NPI 1063451813
Title
President
Phone
(423) 468-3267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

1350 Mackey Branch Dr
Suite 114
Chattanooga, TN 37421-3482

Mailing address

1350 Mackey Branch Dr
Suite 114
Chattanooga, TN 37421-3482
Phone (423) 468-3267

National Provider Directory

National Provider Directory

Locations

1350 Mackey Branch Dr
Ste 114
Chattanooga, TN 37421
Phone (423) 468-3267

6141 Shallowford Rd
Ste A
Chattanooga, TN 37421
Phone (423) 468-3267

365 Kimball Crossing Dr
Kimball, TN 37347
Phone (423) 468-3267

Interoperability endpoints

  • Direct secure messaging: gwenc@direct.covenantallergy.com
  • Direct secure messaging: leighannec@direct.covenantallergy.com
  • Direct secure messaging: susanr@direct.covenantallergy.com

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1396994802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 MACKEY BRANCH DR",
            "address_2": "SUITE 114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213482",
            "telephone_number": "423-468-3267",
            "fax_number": "423-468-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 MACKEY BRANCH DR",
            "address_2": "SUITE 114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213482",
            "telephone_number": "423-468-3267",
            "fax_number": "423-468-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT ALLERGY AND ASTHMA CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "RASCHAL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-468-3267",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.