Organization Active NPI

Riverview Medical Services

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1457875064
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
RIVERVIEW MEDICAL SERVICES
Practice address
6148 Lee Highway
Suite 107
Chattanooga, TN 37421
Phone
(289) 684-8188
NPI assigned
Jul 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Authorized official

Name
Kayla Fenton
Title
Owner
Phone
(289) 684-8188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

6148 Lee Highway
Suite 107
Chattanooga, TN 37421

Mailing address

4543 Everhard Rd NW
Canton, OH 44718
Phone (330) 942-0413

National Provider Directory

National Provider Directory

Locations

6148 Lee Hwy
Ste 107
Chattanooga, TN 37421
Phone (289) 684-8188

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1457875064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 EVERHARD RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-942-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6148 LEE HIGHWAY",
            "address_2": "SUITE 107",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "289-684-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "289-684-8188"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.