Organization Active NPI

Watauga Recovery Center Morristown P.C.

  • Addiction Medicine (Family Medicine) Physician
  • Johnson City, TN
National Provider Identifier
1831640937
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
WATAUGA RECOVERY CENTER MORRISTOWN P.C.
Practice address
1369 W Andrew Johnson Hwy
Johnson City, TN 37604
Phone
(423) 586-3249
Fax
(423) 586-3250
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Mrs. Betty C Linke
Title
Executive Assistant
Phone
(423) 431-0432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0401X TN Primary

Addresses

Primary practice location

1369 W Andrew Johnson Hwy
Johnson City, TN 37604

Mailing address

1369 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 586-3249

National Provider Directory

National Provider Directory

Locations

1369 W Andrew Johnson Hwy
Morristown, TN 37814
Phone 4235863249423

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1831640937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "37814",
            "telephone_number": "423-586-3249",
            "fax_number": "423-586-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 W ANDREW JOHNSON HWY",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-586-3249",
            "fax_number": "423-586-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATAUGA RECOVERY CENTER MORRISTOWN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "LINKE",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "423-431-0432",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

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

Verify at the official NPI Registry.