Active NPI
Allison Leonard
- Family Nurse Practitioner
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN23501
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| APN23501 | TN | MD | Family Nurse Practitioner |
| 0024175486 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | 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.
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Family Medicine Physician
- Big Stone Gap, VA
- NPI 1174808216
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1053762112
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Internal Medicine Physician
- Abingdon, VA
- NPI 1639537525
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1689816365
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1992813240
-
- General Acute Care Hospital
- Greeneville, TN
- NPI 1699819003
-
- General Acute Care Hospital
- Rogersville, TN
- NPI 1174553598
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.