Organization Active NPI

Front Porch Pediatrics, PLLC

  • Pediatrics Physician
  • Ooltewah, TN
National Provider Identifier
1861779704
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FRONT PORCH PEDIATRICS, PLLC
Practice address
6847 Mountain View Road
Ooltewah, TN 37363
Phone
(423) 910-1289
Fax
(423) 910-1260
NPI assigned
Nov 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Dr. Katherine Mui Tun, M.D.NPI 1639135395
Title
President
Phone
(423) 910-1289

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

6847 Mountain View Road
Ooltewah, TN 37363

Mailing address

6847 Mountain View Road
Ooltewah, TN 37363
Phone (423) 910-1289

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2032801Beacon Front Porch Pediatrics6847 Mountain View Rd, Ooltewah, TN 37363ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

6847 Mountain View Rd
Ooltewah, TN 37363
Phone (423) 910-1289

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1861779704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6847 MOUNTAIN VIEW ROAD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "37363",
            "telephone_number": "423-910-1289",
            "fax_number": "423-910-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 MOUNTAIN VIEW ROAD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "37363",
            "telephone_number": "423-910-1289",
            "fax_number": "423-910-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT PORCH PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "TUN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "MUI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-910-1289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.