Active NPI
Valley Beautiful Healthcare LLC
- Family Nurse Practitioner
- Erwin, TN
National Provider Identifier
1720893548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- VALLEY BEAUTIFUL HEALTHCARE LLC
- Practice address
- 647 N Main Avenue
Erwin, TN 37650-1319 - Phone
- (423) 735-3405
- Fax
- (423) 735-3408
- NPI assigned
- Feb 10, 2025
- 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
- Jennifer Garman
- Title
- Biller
- Phone
- (540) 443-6080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
647 N Main Avenue
Erwin, TN 37650-1319
Mailing address
647 N Main Avenue
Erwin, TN 37650
Phone (423) 735-3405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
647 N Main Ave
Erwin, TN 37650
Phone (423) 735-3405
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Erwin, TN
- NPI 1366922205
-
- Family Nurse Practitioner
- Erwin, TN
- NPI 1679234470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739145600000",
"number": "1720893548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 N MAIN AVENUE",
"city": "ERWIN",
"state": "TN",
"postal_code": "37650",
"telephone_number": "423-735-3405",
"fax_number": "423-735-3408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 N MAIN AVENUE",
"city": "ERWIN",
"state": "TN",
"postal_code": "376501319",
"telephone_number": "423-735-3405",
"fax_number": "423-735-3408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY BEAUTIFUL HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-10",
"last_updated": "2025-02-10",
"certification_date": "2025-02-05",
"status": "A",
"authorized_official_last_name": "GARMAN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "540-443-6080"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erwin, TN
- Unicoi County Memorial Hospital Inc. (Unicoi County Home Health)
- Unicoi County Memorial Hospital,Inc
- Unicoi County Outpatient Rehab
- Unicoi Medical Associates
- Urgent Care of Erwin, LLC (Boones Creek Urgent Care)
- Valley Ridge Emergency Physicians, LLP
- Walgreen Co (Rite Aid #114)
- Walgreen Co. (Walgreens #10299)
- David Joe Walters, DC
- Haley Webb, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.