Active NPI
Zhilong Zhao, FNP-C
- Family Nurse Practitioner
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 34237
- Practice address
- 615 N State of Franklin Rd
Johnson City, TN 37604-8209 - Phone
- (423) 930-8337
- NPI assigned
- Jun 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 34237 | TN | Primary |
Addresses
Primary practice location
615 N State of Franklin Rd
Johnson City, TN 37604-8209
Mailing address
2403 Browns Mill Rd Apt 3
Johnson City, TN 37604-1973
Other practice location 1
105 W Park Dr Ste 2A
Kingsport, TN 37660-3805
Phone (423) 930-8337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q089146 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
615 N State of Franklin Rd
Johnson City, TN 37604-8209
Phone (423) 930-8337
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Education Assistance Corporation | Current | Accepting new patients |
Locations
400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200
615 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 433-6039
105 W Park Dr
Ste 2A
Kingsport, TN 37660
Phone (423) 251-6702
Organizations & group practices 1
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.
-
dba ETSU Physicians and Associates
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1710661707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 BROWNS MILL RD APT 3",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376041973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N STATE OF FRANKLIN RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376048209",
"telephone_number": "423-930-8337"
}
],
"practiceLocations": [
{
"address_1": "105 W Park Dr Ste 2A",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603805",
"country_code": "US",
"telephone_number": "423-930-8337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZHAO",
"first_name": "ZHILONG",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-12",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "34237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q089146",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.