NPIMap

Organization Active NPI

Ucsc Primary Care

  • Family Nurse Practitioner
  • Maynardville, TN
National Provider Identifier
1497037451
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15988 Issued in TN
Legal business name
UCSC PRIMARY CARE
Practice address
598 John Deere Dr
Maynardville, TN 37807-3212
Phone
(865) 992-6060
Fax
(865) 992-7060
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Dr. Jon Patrick Downey, M.D.
Title
Medical Director
Phone
(865) 992-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 15988 TN Primary

Addresses

Primary practice location

598 John Deere Dr
Maynardville, TN 37807-3212

Mailing address

598 John Deere Dr
Maynardville, TN 37807-3212
Phone (865) 992-6060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1497037451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 JOHN DEERE DR",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073212",
            "telephone_number": "865-992-6060",
            "fax_number": "865-992-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 JOHN DEERE DR",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073212",
            "telephone_number": "865-992-6060",
            "fax_number": "865-992-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSC PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "DOWNEY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "865-992-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maynardville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.