Individual provider Active NPI

Gary Lynn Messer, MPH

  • Community Health Worker
  • Knoxville, TN
National Provider Identifier
1831515444
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
172V00000X-COMMUNITY Issued in TN
Practice address
140 Dameron Ave
Knoxville, TN 37917-6413
Phone
(865) 215-5385
NPI assigned
Mar 7, 2014
Last updated
Mar 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 172V00000X-COMMUNITY TN Primary

Addresses

Primary practice location

140 Dameron Ave
Knoxville, TN 37917-6413

Mailing address

140 Dameron Ave
Knoxville, TN 37917-6413
Phone (865) 215-5385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
172V00000X-COMMUNITYTNMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1831515444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 DAMERON AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379176413",
            "telephone_number": "865-215-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 DAMERON AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379176413",
            "telephone_number": "865-215-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSER",
        "first_name": "GARY",
        "middle_name": "LYNN",
        "credential": "MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "TN",
            "license": "172V00000X-COMMUNITY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.