Organization Active NPI

Special Needs Nursing

  • Registered Nurse
  • Greeneville, TN
National Provider Identifier
1760538912
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
64504 Issued in TN
Legal business name
SPECIAL NEEDS NURSING
Practice address
400 E Bernard Ave
Ste 1
Greeneville, TN 37745-5123
Phone
(423) 638-9995
Fax
(423) 798-2820
NPI assigned
Jan 27, 2007
Last updated
Mar 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Mrs. Vickie H. Stills, RN
Title
Administrator/Owner
Phone
(423) 638-9995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 64504 TN Primary

Addresses

Primary practice location

400 E Bernard Ave
Ste 1
Greeneville, TN 37745-5123

Mailing address

808 Tusculum Blvd
Greeneville, TN 37745-5123
Phone (423) 638-9995

National Provider Directory

National Provider Directory

Locations

400 E Bernard Ave
Ste 1
Greeneville, TN 37745
Phone (423) 638-9995

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1760538912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455123",
            "telephone_number": "423-638-9995",
            "fax_number": "423-798-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E BERNARD AVE",
            "address_2": "STE 1",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455123",
            "telephone_number": "423-638-9995",
            "fax_number": "423-798-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL NEEDS NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-27",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "STILLS",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "423-638-9995",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "64504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.