Organization Active NPI

Tennessee Wound Experts

  • Wound Care Registered Nurse
  • Corryton, TN
National Provider Identifier
1801641832
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
TENNESSEE WOUND EXPERTS
Doing business as
Tennessee Wound Experts
Practice address
6212 Renee Rd
Corryton, TN 37721-3913
Phone
(865) 323-6887
NPI assigned
Apr 22, 2024
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Mrs. Amanda Keiffer Radford, RNNPI 1104695428
Title
Owner
Phone
(865) 323-6887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X Primary

Addresses

Primary practice location

6212 Renee Rd
Corryton, TN 37721-3913

Mailing address

6212 Renee Rd
Corryton, TN 37721-3913
Phone (865) 323-6887

Other names 1

  • Tennessee Wound Experts Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1801641832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 RENEE RD",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377213913",
            "telephone_number": "865-323-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 RENEE RD",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377213913",
            "telephone_number": "865-323-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE WOUND EXPERTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "KEIFFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-323-6887",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Wound Experts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corryton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.