Sullivan County Regional Health Department

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT

Practice address

154 Blountville Bypass
Blountville, TN 37617

Phone

(423) 279-7563

NPI assigned

Jun 12, 2007

Last updated

Aug 22, 2020By 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

Leslie McReynolds

Title

Tenndercare Coordinator I

Phone

(423) 279-7563

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861696163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 BROAD ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 BLOUNTVILLE BYPASS",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "37617",
            "telephone_number": "423-279-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCREYNOLDS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "TENNDERCARE COORDINATOR I",
        "authorized_official_telephone_number": "423-279-7563"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sullivan County EMS
• Sullivan County Health Department
• Sullivan County Health Department Pharmacy
• Sullivan County Regional
• Sullivan County Regional Health Department
• Sullivan Health Department
• Brandon Edward Taylor, DPT
• Hannah Taylor
• Holly K Taylor, MS, RD, CNSC
• Tennessee Dental Health Services PLLC

• Case Manager/Care Coordinator in Blountville, TN
• Providers in Blountville, TN by specialty
• Case Manager/Care Coordinator in Tennessee

• 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.