Organization Active NPI

Kingsport Family Recovery Associates

  • Recovery Care Clinic/Center
  • Kingsport, TN
National Provider Identifier
1447731492
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
License
MD0000040883 Issued in TN
Legal business name
KINGSPORT FAMILY RECOVERY ASSOCIATES
Practice address
1729 Lynn Garden Dr
Kingsport, TN 37665-1365
Phone
(423) 288-0223
Fax
(423) 288-0220
NPI assigned
Aug 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Dr. Richard Neubert, MDNPI 1487649273
Title
Owner & Medical Director
Phone
(423) 741-8415

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)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X MD0000040883 TN Primary

Addresses

Primary practice location

1729 Lynn Garden Dr
Kingsport, TN 37665-1365

Mailing address

PO Box 2061
Kingsport, TN 37662-2061
Phone (423) 288-0223

National Provider Directory

National Provider Directory

Locations

1729 Lynn Garden Dr
Kingsport, TN 37665
Phone (423) 288-0223

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1447731492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2061",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376622061",
            "telephone_number": "423-288-0223",
            "fax_number": "423-288-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 LYNN GARDEN DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376651365",
            "telephone_number": "423-288-0223",
            "fax_number": "423-288-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSPORT FAMILY RECOVERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "NEUBERT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER & MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "423-741-8415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "TN",
            "license": "MD0000040883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.