Active NPI
LTC Providers Incorporated
- Family Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN 0000006533
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Anne Thomas, NURSE PRACTIONER
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912081381 | Other | TN | INDIVIDUAL NPI |
| 4133158 | Other | TN | BCBC TN |
| 3906597 | Medicaid | TN | |
| 3348732 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Knoxville, TN
- NPI 1912081381
-
- Family Nurse Practitioner
- Corryton, TN
- NPI 1457470015
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.