Tennille C Curtis, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024172111 Issued in VA

Practice address

202 8TH St
Radford, VA 24141-2426

Phone

(540) 639-5188

Fax

(540) 639-9215

NPI assigned

Oct 15, 2018

Last updated

Oct 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Child Adolescent Health Associates of the New River Valley PC

  dba New River Valley Pediatrics

  • Pediatrics Physician
  • Radford, VA
  • NPI 1144239039
  NPD (past)

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1689140972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 8TH ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241412426",
            "telephone_number": "540-639-5188",
            "fax_number": "540-639-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 8TH ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241412426",
            "telephone_number": "540-639-5188",
            "fax_number": "540-639-9215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Davis St",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240607013",
            "country_code": "US",
            "telephone_number": "540-639-5188",
            "fax_number": "540-639-9215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "TENNILLE",
        "middle_name": "C",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024172111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khaliah Janelle Cousar, LPC
• Larry A Cowley, M.D.
• CRJ Physician Services
• Ashley Cupp
• Grace Evelyn Currey
• Conrad Henry Daum, MD
• Jena Alley Davidson, LPTA
• Tammy Davidson, LPC
• Andrea D Davis, RESPIRATORY THERAPIS
• Megan Sorrell Dee, ATC

• Pediatric Nurse Practitioner in Radford, VA
• Providers in Radford, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.