Dominion Senior Living of Bristol

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DOMINION SENIOR LIVING OF BRISTOL

Practice address

425 Shelby LN
Bristol, TN 37620-5840

Phone

(423) 797-8080

Fax

(423) 217-1780

NPI assigned

Aug 27, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Lori Goodman, ED

Title

Executive Director

Phone

(423) 797-8080

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1437038353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 SHELBY LN",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376205840",
            "telephone_number": "423-797-8080",
            "fax_number": "423-217-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SHELBY LN",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376205840",
            "telephone_number": "423-797-8080",
            "fax_number": "423-217-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION SENIOR LIVING OF BRISTOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "423-797-8080",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ED"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Diminick, DDS
• James M Dixon, PHARM D
• Jonathan Dixon, D.O.
• Renee D Dixon, CRNA
• Tim DO, DO
• Donald L Ferris DPM PC
• Donald S. Redford, D.D.S, P.C
• Denise Kay Doty, LPN
• Dr Mark Lynn & Associates, PLLC
• Dr Michael Smith Chiropractic, LLC

• Assisted Living Facility in Bristol, TN
• Providers in Bristol, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.