Tabitha R Justice, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN11945 Issued in TN

Practice address

1900 W Elk Ave
Elizabethton, TN 37643-3776

Phone

(423) 543-2584

Fax

(423) 543-2789

NPI assigned

May 6, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Karing Hearts Cardiology, PLLC

  • Cardiovascular Disease Physician
  • Johnson City, TN
  • NPI 1568760544
  NPD (past)
• Medical Care LLC

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1891712782
  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467401695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014877",
            "telephone_number": "423-929-2584",
            "fax_number": "423-722-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433776",
            "telephone_number": "423-543-2584",
            "fax_number": "423-543-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "TABITHA",
        "middle_name": "R",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN11945",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "11945",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "APN11945",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Johnson, APN
• Jonathan Baker Enterprises, LLC (Moveworks Physical Therapy & Seminars)
• Brooke Nicole Jones-Cannon, OD
• Jessica Nichole Jones, MD
• Deepak Joshi, MD
• K VA T Food Stores Inc (Food City Pharmacy)
• Haley Keylon
• Jean Ann Kimbrel, LPC
• Rebekah N King
• Celesta V Kirk, FNP

• Nurse Practitioner in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.