Individual provider Active NPI

Allison Leonard

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1689185241
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN23501 Issued in TN
Practice address
2205 Pavilion Dr Ste 201
Kingsport, TN 37660-4614
Phone
(423) 224-2370
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024175486 VA
Family Nurse Practitioner 363LF0000X APN23501 TN Primary

Addresses

Primary practice location

2205 Pavilion Dr Ste 201
Kingsport, TN 37660-4614

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

818 Sunset Dr Ste 102
Johnson City, TN 37604-8310
Phone (423) 794-3162

Other names 1

  • Allison Raettig Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180103003139 TN Practitioner - Nurse Practitioner 3375801954 Reassigns benefits to 2 organizations
I20200210001958 VA Practitioner - Nurse Practitioner 3375801954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, shared by 2 NPIs, 432 clinicians

Practice addresses (Care Compare)

111 W Stone Dr
Kingsport, TN 37660-6027

1980 Holton Ave E
Suite 202
Big Stone Gap, VA 24219-3367
Phone (276) 523-8973

401 Scenic Dr
Rogersville, TN 37857-2452
Phone (423) 272-7261

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN23501TNMDFamily Nurse Practitioner
0024175486VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Wellmont Medical Associates Inc Current Accepting new patients
Wellmont Medical Associates Inc CurrentSince Mar 1, 2019 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 1, 2018 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 1, 2018 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Priority Anesthesia, LLC Past Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

701 Med Tech Pkwy
Ste 300
Johnson City, TN 37604
Phone (423) 232-8301

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

444 Clinchfield St
Ste 103
Kingsport, TN 37660
Phone (423) 548-1518

2205 Pavilion Dr
Ste 201
Kingsport, TN 37660
Phone (423) 224-2370

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1980 Holton Ave E
Ste 202
Big Stone Gap, VA 24219
Phone (276) 523-8860

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

Organizations & group practices 8

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1689185241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 PAVILION DR STE 201",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604614",
            "telephone_number": "423-224-2370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 Sunset Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376048310",
            "country_code": "US",
            "telephone_number": "423-794-3162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175486",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN23501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "RAETTIG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.