1 Team LLC Tazewell

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1366442782 Issued in TN

Legal business name

1 TEAM LLC TAZEWELL

Practice address

150 Hester LN
Tazewell, TN 37879-5088

Phone

(423) 851-1149

NPI assigned

Feb 3, 2017

Last updated

Feb 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles C. Doty Jr.NPI 1932647583

Title

President

Phone

(423) 639-0187

Specialties & licenses 1

Addresses

Tax ID family

1 Team Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 1 Team Clinic LLC

  • Family Nurse Practitioner
  • Midway, TN
  • NPI 1578000410
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Doty Jr.

  • Family Nurse Practitioner
  • Tazewell, TN
  • NPI 1932647583
  NPD (past) Authorized official

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1710425368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377440416",
            "telephone_number": "423-639-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HESTER LN",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378795088",
            "telephone_number": "423-851-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 TEAM LLC TAZEWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-639-0187",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "1366442782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ado Inc.
• Tonya Sherell Apperley, PA-C
• Michele R Arns, FNP
• Assisting Seniors, Inc.
• Mary Beth Babos, PHARMD

• Family Nurse Practitioner in Tazewell, TN
• Providers in Tazewell, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.