Rehana Soomar, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN167265 Issued in TN

Practice address

4330 Maynardville Hwy
Maynardville, TN 37807-3618

Phone

(865) 992-3849

Fax

(865) 992-5166

NPI assigned

Nov 4, 2011

Last updated

Nov 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rehana Subzali Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1750668729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W A J HWY",
            "address_2": "DEPARTMENT 100",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778065",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 MAYNARDVILLE HWY",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073618",
            "telephone_number": "865-992-3849",
            "fax_number": "865-992-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOMAR",
        "first_name": "REHANA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TN",
            "license": "RN167265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REHANA",
            "last_name": "SUBZALI",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charity V Shipley, M.S. CCC-SLP
• Samantha Erin Shreves, BA
• Natalie Signaigo, FNP
• Anwyn Marie Skocy, M.S. CCC-SLP
• Lisa D Smallen-Lee
• Alesia Renee Spain, SLP
• Margaret Stallard
• Stallion Medical Group P.C. (DeMaro Family Medicine)
• Brenda Stanley
• State of Tennessee (Union County Health Department)

• Psychiatric/Mental Health Registered Nurse in Maynardville, TN
• Providers in Maynardville, TN by specialty
• Psychiatric/Mental Health Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.