East Tennessee Skilled Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN15811 Issued in TN

Legal business name

EAST TENNESSEE SKILLED CARE

Practice address

140 Technology LN
Johnson City, TN 37604-2004

Phone

(423) 773-9555

Fax

(423) 913-4123

NPI assigned

Aug 28, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Emmalea Elizabeth Johnston, FNP

Title

Family Nurse Practitioner/Ceo

Phone

(423) 773-9555

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Leslie Erin Wilson-Charles, M.S, LMFT

  • Marriage & Family Therapist
  • Knoxville, TN
  • NPI 1336659234
  NPD (past)

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1649604489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4300",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376024300",
            "telephone_number": "423-773-9555",
            "fax_number": "423-913-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TECHNOLOGY LN",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042004",
            "telephone_number": "423-773-9555",
            "fax_number": "423-913-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE SKILLED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "EMMALEA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER/CEO",
        "authorized_official_telephone_number": "423-773-9555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN166309",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN15811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Tennessee Medical and Surgical Dermatology
• East Tennessee Medical Associates, P.C.
• East Tennessee Neuropathy, PC
• East Tennessee Oncology Partners, LLC
• East Tennessee Recovery, PLLC (New Life Medicine)
• East Tennessee State University (Johnson City Downtown Clinic Day Center)
• East Tennessee State University (College of Nursing Clinics)
• East Tennessee State University (ETSU Charitable Pharmacy)
• East Tennessee State University (Northside Elementary School Clinic)
• East Tennessee State University (ETSU Sports Medicine)

• 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 17, 2013; 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.