Proclaim in Jesus Name

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PROCLAIM IN JESUS NAME

Practice address

701 DW Lillard Memorial Hwy
Etowah, TN 37331-1829

Phone

(423) 370-3536

NPI assigned

Apr 22, 2025

Last updated

Apr 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Broling

Title

President

Phone

(423) 370-3536

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1861289076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373310122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DW LILLARD MEMORIAL HWY",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373311829",
            "telephone_number": "423-370-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCLAIM IN JESUS NAME",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "BROLING",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-370-3536"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandie Moore, FNP-C
• Rosemarie Morelan, ED.S.
• Samuel John Olsen II, MD
• Robert Osteen, MD
• Rick A Popp
• Sasha Ramirez
• Joel Craig Riley II, MD
• Frank Al Rymer, D.O.
• Gizachew Asefa Seyoum
• Angelina Sheridan, PA-C

• Community/Behavioral Health Agency in Etowah, TN
• Providers in Etowah, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.