Active NPI
Frontier Health
Doing business as Traces
- Foster Care Agency
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- SO/11429A
- Legal business name
- FRONTIER HEALTH
- Doing business as
- Traces
- Practice address
- 2001 Stonebrook PL
Kingsport, TN 37660-4000 - Phone
- (423) 224-1000
- Fax
- (423) 467-3644
- NPI assigned
- May 4, 2016
- Last updated
- May 4, 2016
- Organization subpart
- Yes
- Parent organization
- FRONTIER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Teresa M Kidd, PHD
- Title
- President & Ceo
- Phone
- (423) 467-3600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | SO/11429A | TN | Primary |
Addresses
Primary practice location
2001 Stonebrook PL
Kingsport, TN 37660-4000
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600
Other names 1
- TRACES
National Provider Directory
National Provider Directory- Tax ID family
- Wise County Integrated Care
- Part of
- Wise County Integrated Care
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Supported Living - Kingsport
- Community/Behavioral Health Agency
- Kingsport, TN
- NPI 1508917642
-
dba Holston Children & Youth Services
- Adolescent and Children Mental Health Clinic/Center
- Kingsport, TN
- NPI 1578627006
-
dba Turning Point
- Community/Behavioral Health Agency
- Johnson City, TN
- NPI 1619529971
-
dba Holston Residence
- Community/Behavioral Health Agency
- Kingsport, TN
- NPI 1669694220
-
- Mental Illness Community Based Residential Treatment Facility
- Gray, TN
- NPI 1699101618
-
dba Supportive Living - Bristol
- Community/Behavioral Health Agency
- Bristol, TN
- NPI 1699826735
-
dba Holston Counseling Center
- Community/Behavioral Health Agency
- Kingsport, TN
- NPI 1700940251
-
dba Frontier Industries Kingsport
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Kingsport, TN
- NPI 1700941721
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gray, TN
- NPI 1720147408
-
dba Nolachuckey -Holston Area Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greeneville, TN
- NPI 1760547004
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychologist
- Greeneville, TN
- NPI 1386656403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462320000000",
"number": "1760838197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 SPRATLIN PARK DR",
"city": "GRAY",
"state": "TN",
"postal_code": "376156205",
"telephone_number": "423-467-3600",
"fax_number": "423-467-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 STONEBROOK PL",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604000",
"telephone_number": "423-224-1000",
"fax_number": "423-467-3644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONTIER HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRONTIER HEALTH",
"enumeration_date": "2016-05-04",
"last_updated": "2016-05-04",
"status": "A",
"authorized_official_last_name": "KIDD",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "423-467-3600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "TN",
"license": "SO/11429A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TRACES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kingsport, TN
- Frontier Health (Supported Living - Kingsport)
- Frontier Health (Holston Children & Youth Services)
- Frontier Health (Holston Residence)
- Frontier Health (Holston Counseling Center)
- Frontier Health (Frontier Industries Kingsport)
- Frontier Health (Midland Center)
- Frontier Health (Frontier Health Link House)
- Frontline Wellness Center PLLC
- Stephen W Fry, M.D.
- Jorge Federico Fuchs, MA SPF
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.