Individual provider Active NPI

Teresa June Burnette Lord, MD

  • Hematology & Oncology Physician
  • Vancouver, WA
National Provider Identifier
1598885550
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD61401415 Issued in WA
Practice address
505 NE 87TH Ave Ste 320
Vancouver, WA 98664-1965
Phone
(360) 514-2550
Fax
(360) 514-1927
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 51856 TN
Obstetrics & Gynecology Physician 207V00000X RTP001763 GA
Hematology & Oncology Physician 207RH0003X MD61401415 WA Primary

Addresses

Primary practice location

505 NE 87TH Ave Ste 320
Vancouver, WA 98664-1965

Mailing address

2205 Pavilion Dr
Suite 101
Kingsport, TN 37660-4641
Phone (423) 857-6466

Other practice location 1

2205 Pavilion Dr
Suite 101
Kingsport, TN 37660-4641
Phone (423) 857-6466

Other practice location 2

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN, WV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140915000304 AL Practitioner - Medical OncologyPractitioner - Hematology 3779702410 Reassigns benefits to 1 organization
I20150408001719 TN Practitioner - Medical Oncology 3779702410 Reassigns benefits to 2 organizations
I20230612000784 WV Practitioner - Medical Oncology 3779702410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of South Alabama College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

378 Marketplace Blvd
Suite 6
Johnson City, TN 37604-2361
Phone (423) 656-0716

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RTP001763GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Memorial Hospital CurrentSince Jul 1, 2023 Accepting new patients
Tennessee Oncology PLLC Hematology & Oncology CurrentSince Jan 13, 2025 Accepting new patients
Davis Memorial Hospital CurrentSince Jul 1, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Tennessee Oncology, PLLC Past Accepting new patients
Tennessee Oncology,PLLC Past Accepting new patients

Locations

4488 Carothers Pkwy
Ste 110
Franklin, TN 37067
Phone (615) 320-7387

378 Marketplace Blvd
Ste 6
Johnson City, TN 37604
Phone (423) 568-8320

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

Organizations & group practices 7

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1598885550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 PAVILION DR",
            "address_2": "SUITE 101",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604641",
            "telephone_number": "423-857-6466",
            "fax_number": "423-857-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NE 87TH AVE STE 320",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641965",
            "telephone_number": "360-514-2550",
            "fax_number": "360-514-1927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Pavilion Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604641",
            "country_code": "US",
            "telephone_number": "423-857-6466",
            "fax_number": "423-857-6456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-414-7878",
            "fax_number": "360-414-7876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORD",
        "first_name": "TERESA",
        "middle_name": "JUNE BURNETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TN",
            "license": "51856",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "RTP001763",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD61401415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.