Elijahs Dream Compassionate Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ELIJAHS DREAM COMPASSIONATE CARE

Practice address

134 Creekside Dr Ste 1
Ocoee, TN 37361-3653

Phone

(423) 299-9491

Fax

(423) 299-9365

NPI assigned

Jan 24, 2020

Last updated

Jan 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victoria Kinsey, DO

Title

Physician

Phone

(423) 313-1865

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1407486764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 FOXFIRE RD NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373235739",
            "telephone_number": "423-313-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 CREEKSIDE DR STE 1",
            "city": "OCOEE",
            "state": "TN",
            "postal_code": "373613653",
            "telephone_number": "423-299-9491",
            "fax_number": "423-299-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIJAHS DREAM COMPASSIONATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "KINSEY",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "423-313-1865",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Bryson, DC
• Lori Beth Armstrong Bryson, DC
• Jennifer Bunn
• David D Darden, D.O., M.P.H.
• Macey Ehman, LPC
• Leslie Kayla Hafley, PA-C
• Alexis Hall
• Stephanie Julienne Hamel
• Jaye Holland Harris, PA-C
• Rachel Harwood, DNP, FNP-C

• Primary Care Clinic/Center in Ocoee, TN
• Providers in Ocoee, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.