Beverly Nuckols Hall, BS
Individual provider Active NPI Case Manager/Care Coordinator · Mountain City, TN
NPI 1669613170 · NPPES record last updated Aug 15, 2018
Key facts
- NPI
- 1669613170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 318 Donnelly St
Mountain City, TN 37683-1510 - Phone
- (423) 727-2100
- Fax
- (423) 467-3644
- NPI assigned
- Mar 12, 2009
- Reactivated
- Aug 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
318 Donnelly St
Mountain City, TN 37683-1510
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3721
Other providers in Mountain City, TN
- Sherri Frittz-Matz
- Frontier Health
- Danielle Fulkrod
- Donna F Gibson-Hughes
- Robert Finch Griffith
- Katie Halsey
- Abigail Harless
- Lindsay Harsh
- Henry Renick Hartsoe
- Deborah J Hassebrock
All providers in Mountain City, TN · Case Manager/Care Coordinator in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.