Organization Active NPI

Young Men'S Christian Association of East Tennessee, Inc.

  • Health Educator
  • Knoxville, TN
National Provider Identifier
1407303571
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF EAST TENNESSEE, INC.
Practice address
616 Jessamine St
Knoxville, TN 37917-7726
Phone
(865) 525-9622
Fax
(865) 521-7418
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Mr. Jim Dickson
Title
Chief Executive Officer
Phone
(865) 368-9623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

616 Jessamine St
Knoxville, TN 37917-7726

Mailing address

616 Jessamine St
Knoxville, TN 37917-7726
Phone (865) 525-9622

National Provider Directory

National Provider Directory

Locations

616 Jessamine St
Knoxville, TN 37917
Phone (865) 525-9622

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1407303571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 JESSAMINE ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379177726",
            "telephone_number": "865-525-9622",
            "fax_number": "865-521-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 JESSAMINE ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379177726",
            "telephone_number": "865-525-9622",
            "fax_number": "865-521-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF EAST TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "865-368-9623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.