Active NPI
Clara Dianne Young, RN
- Community Health Registered Nurse
- Athens, TN
National Provider Identifier
1407060197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN0000101202
- Practice address
- McMinn County Health Department
393 County Road 554
Athens, TN 37371 - Phone
- (423) 745-7431
- Fax
- (423) 744-1604
- NPI assigned
- May 10, 2007
- 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 Registered Nurse | 163WC1500X | RN0000101202 | TN | Primary |
Addresses
Primary practice location
McMinn County Health Department
393 County Road 554
Athens, TN 37371
Mailing address
1085 Chestua Church Rd
Madisonville, TN 37354-7740
Phone (423) 420-1935
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000101202 | TN | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407060197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 CHESTUA CHURCH RD",
"city": "MADISONVILLE",
"state": "TN",
"postal_code": "373547740",
"telephone_number": "423-420-1935",
"fax_number": "423-420-1931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MCMINN COUNTY HEALTH DEPARTMENT",
"address_2": "393 COUNTY ROAD 554",
"city": "ATHENS",
"state": "TN",
"postal_code": "37371",
"telephone_number": "423-745-7431",
"fax_number": "423-744-1604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CLARA",
"middle_name": "DIANNE",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TN",
"license": "RN0000101202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, 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.