Active NPI
Teresa June Burnette Lord, MD
- Hematology & Oncology Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD61401415
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RTP001763 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Memorial Hospital | Current | Accepting new patients | |
| Tennessee Oncology PLLC | Hematology & Oncology | Current | Accepting new patients |
| Davis Memorial Hospital | Current | 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.
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1811955917
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- General Acute Care Hospital
- Elkins, WV
- NPI 1619964806
-
- Hematology & Oncology Physician
- Birmingham, AL
- NPI 1841216389
-
- Community/Retail Pharmacy
- Elkins, WV
- NPI 1700663226
-
- Diagnostic Radiology Physician
- Franklin, TN
- NPI 1326503749
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1043310428
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- General Acute Care Hospital
- Greeneville, TN
- NPI 1699819003
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.