NPIMap

Individual provider Active NPI

Lisa Williams-Gunter, FNP

  • Family Nurse Practitioner
  • Sneedville, TN
National Provider Identifier
1881010908
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18304 Issued in TN
Practice address
391 Court SQ
Sneedville, TN 37869
Phone
(423) 733-2121
Fax
(423) 733-4563
NPI assigned
Mar 13, 2014
Last updated
Oct 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18304 TN Primary

Addresses

Primary practice location

391 Court SQ
Sneedville, TN 37869

Mailing address

1101 E Stone Dr
Suite 2
Kingsport, TN 37660-3384
Phone (423) 224-1110

Other practice location 1

1101 E Stone Dr
Suite 2
Kingsport, TN 37660-3384
Phone (423) 224-1110

Other identifiers 2

IdentifierTypeStateIssuer
1533863MedicaidTN
1881010908MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140611002285 TN Practitioner - Nurse Practitioner 3173747201 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Health SystemGroup PAC ID 2567360704, 2 clinicians

Practice addresses (Care Compare)

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Health System Current Accepting new patients
East Tennessee State University CurrentSince Mar 15, 2014 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Nov 1, 2015 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Health System CurrentSince Nov 8, 2020 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Nov 19, 2018 Accepting new patients
East Tennessee State University CurrentSince Mar 15, 2014 Accepting new patients
Wellmont Health System CurrentSince Nov 8, 2020 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Nov 19, 2018 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Nov 1, 2015 Accepting new patients
Mountain Empire Radiology Inc PC Past Accepting new patients
Wellmont Health System Past Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867

1101 E Stone Dr
Ste 2
Kingsport, TN 37660
Phone (423) 224-1110

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

1901 S Shady St
Mountain City, TN 37683
Phone (423) 727-1100

2700 Main St
Sneedville, TN 37869
Phone (423) 733-2819

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1881010908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E STONE DR",
            "address_2": "SUITE 2",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603384",
            "telephone_number": "423-224-1110",
            "fax_number": "423-224-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 COURT SQ",
            "city": "SNEEDVILLE",
            "state": "TN",
            "postal_code": "37869",
            "telephone_number": "423-733-2121",
            "fax_number": "423-733-4563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 E Stone Dr",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603384",
            "country_code": "US",
            "telephone_number": "423-224-1110",
            "fax_number": "423-224-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS-GUNTER",
        "first_name": "LISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1533863",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881010908",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sneedville, TN

Sources for this page

Verify at the official NPI Registry.