TN River Medicine, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TN RIVER MEDICINE, INC

Practice address

259 N Peters Rd
Ste 103
Knoxville, TN 37923-4923

Phone

(865) 690-1255

Fax

(865) 690-4583

NPI assigned

Jun 29, 2012

Organization subpart

No

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

Authorized official

Name

Tina L. Smith

Title

Director

Phone

(865) 690-1255

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Marie Bacher, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Harriman, TN
  • NPI 1952865842
  NPD (past)

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345766400000",
    "number": "1801150362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 N PETERS RD",
            "address_2": "STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234923",
            "telephone_number": "865-690-1255",
            "fax_number": "865-690-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 N PETERS RD",
            "address_2": "STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234923",
            "telephone_number": "865-690-1255",
            "fax_number": "865-690-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TN RIVER MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-08-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "865-690-1255"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528660",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joshua Weber Todd, M.D.
• Julie Todd

• All providers in Knoxville, TN
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.