Octennial Health Services, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

OCTENNIAL HEALTH SERVICES, LLC

Practice address

7 Wayland CT
Johnson City, TN 37604-1139

Phone

(423) 530-1132

NPI assigned

Oct 2, 2024

Organization subpart

No

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

Authorized official

Name

Ashley Anderson, FNPNPI 1487870077

Title

Owner

Phone

(423) 530-1132

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Laine Anderson, FNP

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1487870077

  TN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1649098005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WAYLAND CT",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WAYLAND CT",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041139",
            "telephone_number": "423-530-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTENNIAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-530-1132",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann O'Quinn, FNP
• Daniel M O'Roark, DO
• Jennifer Oakley, M.D.
• Christine A Oaks, MA
• Oasis Psychiatry and Counseling, LLC
• Rosa O Octobre
• Ryan Oden, DPT
• Rebecca Erion Odom, M.D.
• Tanya Nicole Odom, M.S, CCC-SLP
• Carleen Marie Ogle, FNP

• Family Nurse Practitioner in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.