State of Tennessee

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

STATE OF TENNESSEE

Practice address

430 College St
Newport, TN 37821-3752

Phone

(423) 623-8733

Fax

(423) 623-0874

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Marianne F Sharp

Title

Regional Accountant

Phone

(865) 549-5266

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cocke County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Tax ID family

Trousdale County Health202 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Clover Botttom Developmental Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Nashville, TN
  • NPI 1659559920
  NPD tax ID
• Department of Intellectual and Developmental Disabilities, State of TN

  • Public Health or Welfare Agency
  • Nashville, TN
  • NPI 1629436241
  NPD tax ID
• State of Tennessee

  • Federally Qualified Health Center (FQHC)
  • Carthage, TN
  • NPI 1619028446
  NPD tax ID
• State of Tennessee

  • Intellectual Disabilities Intermediate Care Facility
  • Greeneville, TN
  • NPI 1629342415
  NPD tax ID
• State of Tennessee

  • Intellectual Disabilities Intermediate Care Facility
  • Greeneville, TN
  • NPI 1639443419
  NPD tax ID
• State of Tennessee

  • Federally Qualified Health Center (FQHC)
  • Cookeville, TN
  • NPI 1649321464
  NPD tax ID
• State of Tennessee

  • Public Health or Welfare Agency
  • Copperhill, TN
  • NPI 1659418598
  NPD tax ID
• State of Tennessee

  • Public Health or Welfare Agency
  • Clarksville, TN
  • NPI 1659687978
  NPD tax ID
• State of Tennessee

  • State or Local Public Health Clinic/Center
  • Madisonville, TN
  • NPI 1669527230
  NPD tax ID
• State of Tennessee

  • Public Health or Welfare Agency
  • Wartburg, TN
  • NPI 1679611404
  NPD tax ID
• State of Tennessee

  • Public Health or Welfare Agency
  • Sneedville, TN
  • NPI 1689728750
  NPD tax ID
• State of Tennessee

  • Public Health or Welfare Agency
  • Tazewell, TN
  • NPI 1699104885
  NPD tax ID

All facility ownership & control disclosures 18

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1679611560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59019",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379509019",
            "telephone_number": "423-623-8733",
            "fax_number": "423-623-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 COLLEGE ST",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213752",
            "telephone_number": "423-623-8733",
            "fax_number": "423-623-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "REGIONAL ACCOUNTANT",
        "authorized_official_telephone_number": "865-549-5266"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522264",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD TN",
            "identifier": "1831",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cocke County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine L Spiker, D.O.
• Kylee Sprouse
• Lora D Spurlock, NP
• SSC Newport Operating Company LLC
• Danny Joe Stanley II, PHARMD
• Allison Staten, PTA
• Kurt T Steele, OD
• Charlie Stephens, LPN
• Steven F, Smith, D.D.S., Mark C. Smith, D.D.S.
• Stinson Strength & Vitality, PLLC

• All providers in Newport, TN
• Public Health or Welfare Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.