Active NPI
Phoenix Health PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Chattanooga, TN
National Provider Identifier
1649835398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PHOENIX HEALTH PLLC
- Practice address
- 7405 Shallowford Rd Ste 230
Chattanooga, TN 37421-7632 - Phone
- (423) 280-8099
- Fax
- (855) 305-1008
- NPI assigned
- May 8, 2019
- Last updated
- Apr 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janelle Edmondson, PMHNP-BC
- Title
- Owner
- Phone
- (423) 208-8099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
7405 Shallowford Rd Ste 230
Chattanooga, TN 37421-7632
Mailing address
7405 Shallowford Rd Ste 230
Chattanooga, TN 37421-7632
Phone (423) 280-8099
National Provider Directory
National Provider DirectoryLocations
7011 Shallowford Rd
Ste 104
Chattanooga, TN 37421
Phone (423) 208-8099
7405 Shallowford Rd
Ste 230
Chattanooga, TN 37421
Phone (423) 208-8099
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Chattanooga, TN
- NPI 1043827041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618444800000",
"number": "1649835398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7405 SHALLOWFORD RD STE 230",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374217632",
"telephone_number": "423-280-8099",
"fax_number": "855-305-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7405 SHALLOWFORD RD STE 230",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374217632",
"telephone_number": "423-280-8099",
"fax_number": "855-305-1008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-08",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A",
"authorized_official_last_name": "EDMONDSON",
"authorized_official_first_name": "JANELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-208-8099",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
- Tabby Faye Phillips, RN
- William M Phillips, DDS
- James L. Philpott, TH.D.
- Roy Allen Phipps, RPH
- Vanessa Haynes Phipps, CPNP
- Marlenny Phoenix
- Physical Therapy Associates of Chattanooga, Inc
- Physicians Care PT
- Physicians Reference Laboratory, Inc.
- Physicians Surgery Center of Chattanooga, LLC (Physicians Surgery Center of Chattanooga)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.