Active NPI
Brittany Ann Laehn, PA-C
- Medical Physician Assistant
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 4632
- Practice address
- 1185 W Mountain View Rd Apt 1127
Johnson City, TN 37604-2528 - Phone
- (715) 864-4799
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110010719 | VA | |
| Medical Physician Assistant | 363AM0700X | 4632 | TN | Primary |
| Physician Assistant | 363A00000X | 8873 | WI | |
| Surgical Physician Assistant | 363AS0400X | 4632 | TN | |
| Physician Assistant | 363A00000X | 0110010719 | VA | |
| Physician Assistant | 363A00000X | 4632 | TN | |
| Physician Assistant | 363A00000X | 15665 | MN |
Addresses
Primary practice location
1185 W Mountain View Rd Apt 1127
Johnson City, TN 37604-2528
Mailing address
PO Box 21
Gilmanton, WI 54743-0021
Phone (715) 864-4799
Other practice location 1
927 Churchill St W
Stillwater, MN 55082-6605
Phone (651) 430-4529
Other practice location 2
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-3456
Other practice location 3
405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000
Other practice location 4
800 S Mohawk Dr Ste C
Erwin, TN 37650-2124
Phone (423) 330-6177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA, MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1497 W Elk Ave
Elizabethton, TN 37643-2896
800 S Mohawk Dr
Suite C
Erwin, TN 37650-2124
Phone (423) 735-4750
Hospital & facility affiliations
- Lakeview Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.33 of 100
- Quality
- 83.8
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15665 | MN | MD | Physician Assistant |
| 4632 | TN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients |
Locations
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
800 S Mohawk Dr
Ste C
Erwin, TN 37650
Phone (423) 330-6177
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
-
- Critical Access Hospital
- Hudson, WI
- NPI 1396849303
-
- Emergency Medicine Physician
- Salem, VA
- NPI 1215429600
-
- Neonatal Nurse Practitioner
- Stillwater, MN
- NPI 1821114729
-
- Emergency Medicine Physician
- Saint Paul, MN
- NPI 1154359917
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1043688385
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stillwater, MN
- NPI 1538138003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1831769314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21",
"city": "GILMANTON",
"state": "WI",
"postal_code": "547430021",
"telephone_number": "715-864-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1185 W MOUNTAIN VIEW RD APT 1127",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042528",
"telephone_number": "715-864-4799"
}
],
"practiceLocations": [
{
"address_1": "927 Churchill St W",
"address_purpose": "LOCATION",
"city": "Stillwater",
"state": "MN",
"postal_code": "550826605",
"country_code": "US",
"telephone_number": "651-430-4529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "640 Jackson St",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551012502",
"country_code": "US",
"telephone_number": "651-254-3456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 Stageline Rd",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "WI",
"postal_code": "540167848",
"country_code": "US",
"telephone_number": "715-531-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 S Mohawk Dr Ste C",
"address_purpose": "LOCATION",
"city": "Erwin",
"state": "TN",
"postal_code": "376502124",
"country_code": "US",
"telephone_number": "423-330-6177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAEHN",
"first_name": "BRITTANY",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110010719",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "4632",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "8873",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TN",
"license": "4632",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110010719",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "4632",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "15665",
"primary": false
}
],
"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 Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.