Sullivan County Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

128167 Issued in TN

Legal business name

SULLIVAN COUNTY HEALTH DEPARTMENT

Practice address

3411 Highway 126 Ste 202
Blountville, TN 37617-4564

Phone

(423) 354-1043

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Debra Dickens, RNBSNNPI 1730376641

Title

School Nurse

Phone

(423) 354-1415

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra D Dickens, RN

  • School Registered Nurse
  • Kingsport, TN
  • NPI 1730376641
  Authorized official Same address or phone

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1518153469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 HIGHWAY 126 STE 202",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376174564",
            "telephone_number": "423-354-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 HIGHWAY 126 STE 202",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376174564",
            "telephone_number": "423-354-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "423-354-1415",
        "authorized_official_credential": "RNBSN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TN",
            "license": "128167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Abigail Stancil
• State of Tennessee (Sullivan County Health Department)
• Hannah McKinslee Stephens, RN
• Gina Carolyn Stone, RN
• Sullivan County EMS
• Sullivan County Health Department Pharmacy
• Sullivan County Regional
• Sullivan County Regional Health Department
• Sullivan County Regional Health Department
• Sullivan Health Department

• Public Health or Welfare Agency in Blountville, TN
• Providers in Blountville, 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 Sep 24, 2007; 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.