Union Family Medicine

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1510 Issued in TN

Legal business name

UNION FAMILY MEDICINE

Practice address

598 John Deere Dr
Maynardville, TN 37807-3212

Phone

(865) 992-6060

Fax

(865) 992-7060

NPI assigned

Jan 4, 2011

Organization subpart

No

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

Authorized official

Name

Cyndy Nicely

Title

Practice Manager

Phone

(865) 992-6060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1821392937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 JOHN DEERE DR",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073212",
            "telephone_number": "865-992-6060",
            "fax_number": "865-992-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 JOHN DEERE DR",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073212",
            "telephone_number": "865-992-6060",
            "fax_number": "865-992-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "NICELY",
        "authorized_official_first_name": "CYNDY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "865-992-6060"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ucsc Primary Care
• Ucsc Primary Care - Union County LLC
• Union County EMS
• Union County Health Department
• Union Discount Pharmacy Inc
• Richard Valente, LMSW
• Vivek Kalpathi Venkatesh, MD
• Briana Michelle Viens, APN
• Walgreen Co (Walgreens #18021)
• Mary Jane Walker, FNP

• Physician Assistant in Maynardville, TN
• Providers in Maynardville, TN by specialty
• Physician Assistant in Tennessee

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