Active NPI
Frontier Health
- Mental Illness Community Based Residential Treatment Facility
- Gray, TN
National Provider Identifier
1699101618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- FRONTIER HEALTH
- Practice address
- 1167 Spratlin Park Dr
Gray, TN 37615-6205 - Phone
- (423) 467-3600
- Fax
- (423) 467-3644
- NPI assigned
- Sep 23, 2013
- Last updated
- Oct 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin D Denton, BSOM
- Title
- Um Coordinatior
- Phone
- (423) 467-3721
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary |
Addresses
Primary practice location
1167 Spratlin Park Dr
Gray, TN 37615-6205
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600
National Provider Directory
National Provider Directory- Tax ID family
- Lee County Integrated Care
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.
-
dba Adventure Program
- Adolescent and Children Mental Health Clinic/Center
- Johnson City, TN
- NPI 1235298720
-
dba Roller Russ Residence for Independent Living
- Mental Illness Community Based Residential Treatment Facility
- Kingsport, TN
- NPI 1265597280
-
dba Laurel House
- Mental Illness Community Based Residential Treatment Facility
- Johnson City, TN
- NPI 1265632392
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bristol, TN
- NPI 1326288093
-
dba Watauga Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Johnson City, TN
- NPI 1386700383
-
dba Johnson County Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mountain City, TN
- NPI 1396809851
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Johnson City, TN
- NPI 1417197153
-
dba Supported Living - Kingsport
- Community/Behavioral Health Agency
- Kingsport, TN
- NPI 1508917642
-
dba Holston Children & Youth Services
- Adolescent and Children Mental Health Clinic/Center
- Kingsport, TN
- NPI 1578627006
-
dba Turning Point
- Community/Behavioral Health Agency
- Johnson City, TN
- NPI 1619529971
-
dba Holston Residence
- Community/Behavioral Health Agency
- Kingsport, TN
- NPI 1669694220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538611200000",
"number": "1699101618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 SPRATLIN PARK DR",
"city": "GRAY",
"state": "TN",
"postal_code": "376156205",
"telephone_number": "423-467-3600",
"fax_number": "423-467-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1167 SPRATLIN PARK DR",
"city": "GRAY",
"state": "TN",
"postal_code": "376156205",
"telephone_number": "423-467-3600",
"fax_number": "423-467-3644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONTIER HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-23",
"last_updated": "2018-10-04",
"status": "A",
"authorized_official_last_name": "DENTON",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "UM COORDINATIOR",
"authorized_official_telephone_number": "423-467-3721",
"authorized_official_credential": "BSOM"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gray, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.