Active NPI
Patricia M. Vanhook, FNP
- Family Nurse Practitioner
- Johnson City, TN
National Provider Identifier
1619004785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000006579
- Practice address
- 2151 Century LN
Johnson City, TN 37604-4469 - Phone
- (423) 926-2500
- Fax
- (423) 926-5999
- NPI assigned
- Feb 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000006579 | TN | Primary |
Addresses
Primary practice location
2151 Century LN
Johnson City, TN 37604-4469
Mailing address
PO Box 70403
365 Stout Drive
Johnson City, TN 37614-1703
Phone (423) 439-4381
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1502670 | Medicaid | TN | |
| APN0000006579 | Other | TN | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000006579 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee State University | Current | Accepting new patients | |
| Mountain States Health Alliance | Past | Accepting new patients |
Locations
2151 Century Ln
Johnson City, TN 37604
Phone (423) 439-4071
1901 S Shady St
Mountain City, TN 37683
Phone (423) 727-1100
2700 Main St
Sneedville, TN 37869
Phone (423) 733-2819
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Mountain City, TN
- NPI 1295779361
-
- Psychiatric Hospital Unit
- Kingsport, TN
- NPI 1417050980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1619004785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70403",
"address_2": "365 STOUT DRIVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376141703",
"telephone_number": "423-439-4381",
"fax_number": "423-439-4543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 CENTURY LN",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376044469",
"telephone_number": "423-926-2500",
"fax_number": "423-926-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANHOOK",
"first_name": "PATRICIA",
"middle_name": "M.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000006579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1502670",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "APN0000006579",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.