Active NPI
Harrogate Family Practice
- Nurse Practitioner
- Harrogate, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN0000007778
- Legal business name
- HARROGATE FAMILY PRACTICE
- Practice address
- 6976 Cumberland Gap Pkwy
Harrogate, TN 37752-8230 - Phone
- (423) 869-3332
- Fax
- (423) 869-2064
- NPI assigned
- Jun 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amanda Brown, APRN
- Title
- Owner
- Phone
- (423) 869-3332
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN0000007778 | TN | Primary |
Addresses
Primary practice location
6976 Cumberland Gap Pkwy
Harrogate, TN 37752-8230
Mailing address
6976 Cumberland Gap Pkwy
Harrogate, TN 37752-8230
Phone (423) 869-3332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080719000043 | TN | Part B Supplier - Clinic/Group Practice | 0840363123 |
Receives reassigned benefits from 3 practitioners Practice locations: Harrogate, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1082302 | Harrogate Family Practice | Certificate of waiver | Apr 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
617 E Central Ave
La Follette, TN 37766
Phone (423) 201-9799
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Harrogate, TN
- NPI 1760253769
-
- Primary Care Nurse Practitioner
- Harrogate, TN
- NPI 1932727112
Single Specialty
-
- Family Nurse Practitioner
- Cookeville, TN
- NPI 1306329818
-
- Physician Assistant
- Harrogate, TN
- NPI 1063183150
-
- Physician Assistant
- Maryville, TN
- NPI 1093305583
-
- Family Medicine Physician
- Lafollette, TN
- NPI 1093785578
-
- Family Nurse Practitioner
- Blaine, TN
- NPI 1225663651
-
- Family Nurse Practitioner
- Harrogate, TN
- NPI 1700338100
-
- Family Nurse Practitioner
- La Follette, TN
- NPI 1881519858
-
- Family Medicine Physician
- Tazewell, TN
- NPI 1528620473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217289600000",
"number": "1417119595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6976 CUMBERLAND GAP PKWY",
"city": "HARROGATE",
"state": "TN",
"postal_code": "377528230",
"telephone_number": "423-869-3332",
"fax_number": "423-869-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6976 CUMBERLAND GAP PKWY",
"city": "HARROGATE",
"state": "TN",
"postal_code": "377528230",
"telephone_number": "423-869-3332",
"fax_number": "423-869-2064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARROGATE FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-30",
"last_updated": "2008-07-29",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-869-3332",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN0000007778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrogate, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.