TN Dept of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

RN0000062004 Issued in TN

Legal business name

TN DEPT OF HEALTH

Practice address

1233 Southwest Ave.Ext.
Johnson City, TN 37604-6519

Phone

(423) 979-4607

Fax

(423) 979-3261

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Patricia L Bradley, RNNPI 1699818286

Title

PHN 3

Phone

(423) 979-4607

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Lynn Bradley, RN

  • Pediatric Registered Nurse
  • Johnson City, TN
  • NPI 1699818286
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1437298817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E MAIN ST",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591416",
            "telephone_number": "423-753-0221",
            "fax_number": "423-979-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SOUTHWEST AVE.EXT.",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046519",
            "telephone_number": "423-979-4607",
            "fax_number": "423-979-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TN DEPT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHN 3",
        "authorized_official_telephone_number": "423-979-4607",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TN",
            "license": "RN0000062004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Thomas Tipton, DNP, APRN, PMHNP-BC
• Lisa Ann Tipton, BS
• Whitney Camile Tipton, OTR/L
• Lauren Elizabeth Tisdale, MD
• TLC the Laser Center (Tri-Cities) Inc
• TN Doctors of Optometry, PLLC
• Daniel L Tolan, MD
• Faith Tolan, PA
• Kara Tolbert, RBT
• Angela Dawn Tolley, PE

• Public Health or Welfare Agency in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Public Health or Welfare Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.