Organization Active NPI

LTC Providers Incorporated

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1861526956
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN 0000006533 Issued in TN
Legal business name
LTC PROVIDERS INCORPORATED
Practice address
428 E Burwell Ave
Knoxville, TN 37917-5007
Phone
(865) 546-1433
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Deborah Anne Thomas, NURSE PRACTIONERNPI 1912081381
Title
President
Phone
(865) 546-1433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APN 0000006533 TN Primary

Addresses

Primary practice location

428 E Burwell Ave
Knoxville, TN 37917-5007

Mailing address

428 E Burwell Ave
Knoxville, TN 37917-5007
Phone (865) 546-1433

Other identifiers 4

IdentifierTypeStateIssuer
1912081381OtherTNINDIVIDUAL NPI
4133158OtherTNBCBC TN
3906597MedicaidTN
3348732MedicaidTN

National Provider Directory

National Provider Directory

Locations

1026 McFarland St
Morristown, TN 37814
Phone (423) 581-5100

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861526956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E BURWELL AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379175007",
            "telephone_number": "865-546-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E BURWELL AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379175007",
            "telephone_number": "865-546-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC PROVIDERS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-546-1433",
        "authorized_official_credential": "NURSE PRACTIONER"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN 0000006533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1912081381",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC TN",
            "identifier": "4133158",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3906597",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3348732",
            "state": "TN"
        }
    ],
    "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 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.