Jill Marie Herren, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1792 Issued in TN

Practice address

100 Netherland LN
Kingsport, TN 37660-7245

Phone

(423) 245-0360

NPI assigned

Jan 14, 2019

Last updated

Jan 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1427522317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 CANTERBURY RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605027",
            "telephone_number": "423-276-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NETHERLAND LN",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607245",
            "telephone_number": "423-245-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERREN",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "1792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce L Henson, FNP
• Beatrice Sharon Herbert, LPN
• John R Hereford, MD
• Heather Hermes, BS
• Clark Rafael Hernandez, PAC
• Charles B Herrin, M.D.
• Nancy Hess, PT
• Sarah N. Hewitt
• Hannah Hicks
• Ian Jackson Hicks, RN

• Physical Therapy Assistant in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.