NPIMap

Organization Active NPI

Pain Management

  • Adult Health Nurse Practitioner
  • Oak Ridge, TN
National Provider Identifier
1730368408
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0000011062 Issued in TN
Legal business name
PAIN MANAGEMENT
Practice address
140 E Division Rd
A1
Oak Ridge, TN 37830-6937
Phone
(865) 220-0070
NPI assigned
Oct 30, 2007
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Connie S Jobe
Title
Practice Manager
Phone
(865) 220-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0000011062 TN Primary

Addresses

Primary practice location

140 E Division Rd
A1
Oak Ridge, TN 37830-6937

Mailing address

PO Box 4547
Oak Ridge, TN 37831-4547
Phone (865) 220-0070

National Provider Directory

National Provider Directory
Tax ID family
Pain Management2 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.

Locations

140 E Division Rd
Ste A1
Oak Ridge, TN 37830
Phone (865) 220-0070

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGBFAD

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1730368408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4547",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378314547",
            "telephone_number": "865-220-0070",
            "fax_number": "865-220-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E DIVISION RD",
            "address_2": "A1",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306937",
            "telephone_number": "865-220-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "JOBE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "865-220-0070"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "0000011062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.