NPIMap

Organization Active NPI

Lisa Ross Birth and Womens Center

  • Clinic/Center
  • Knoxville, TN
National Provider Identifier
1841200177
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0000000004 Issued in TN
Legal business name
LISA ROSS BIRTH AND WOMENS CENTER
Practice address
1925-B Ailor Avenue
Knoxville, TN 37921
Phone
(865) 524-4422
Fax
(865) 523-3687
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Linda J Cole, CNMNPI 1316957657
Title
Executive Director
Phone
(865) 524-4422

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
Clinic/Center 261Q00000X 0000000004 TN Primary

Addresses

Primary practice location

1925-B Ailor Avenue
Knoxville, TN 37921

Mailing address

1925-B Ailor Avenue
Knoxville, TN 37921
Phone (865) 524-4422

Other identifiers 2

IdentifierTypeStateIssuer
1000911OtherTNBLUE CROSS BLUE SHIELD
444B195MedicaidTN

Other names 1

  • The Maternity Center of East Tennessee Former legal business name

National Provider Directory

National Provider Directory

Locations

1925B Ailor Ave
Knoxville, TN 37921
Phone (865) 524-4422

Practitioners & affiliated clinicians

Practitioners 2

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841200177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925-B AILOR AVENUE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37921",
            "telephone_number": "865-524-4422",
            "fax_number": "865-523-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925-B AILOR AVENUE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37921",
            "telephone_number": "865-524-4422",
            "fax_number": "865-523-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA ROSS BIRTH AND WOMENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "865-524-4422",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "0000000004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1000911",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444B195",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Maternity Center of East Tennessee",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 2020; 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.