Organization Active NPI

Candace J Templeton LLC

  • Nurse Practitioner
  • Kingston, TN
National Provider Identifier
1881017457
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
18310 Issued in TN
Legal business name
CANDACE J TEMPLETON LLC
Practice address
915 N Kentucky St
Kingston, TN 37763-2638
Phone
(865) 248-8728
Fax
(865) 248-8782
NPI assigned
Feb 1, 2014
Last updated
Dec 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Authorized official

Name
Mrs. Candace Joy Templeton, FNP
Title
Owner
Phone
(865) 248-8728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 18310 TN Primary

Addresses

Primary practice location

915 N Kentucky St
Kingston, TN 37763-2638

Mailing address

915 N Kentucky St
Kingston, TN 37763-2638
Phone (865) 248-8728

Other identifiers 1

IdentifierTypeStateIssuer
Q005512MedicaidTN

National Provider Directory

National Provider Directory

Locations

915 N Kentucky St
Kingston, TN 37763
Phone (865) 248-8728

Practitioners & affiliated clinicians

Practitioners 1

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": "1391212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1881017457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N KENTUCKY ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632638",
            "telephone_number": "865-248-8728",
            "fax_number": "865-248-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N KENTUCKY ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632638",
            "telephone_number": "865-248-8728",
            "fax_number": "865-248-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDACE J TEMPLETON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-01",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "TEMPLETON",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-248-8728",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "18310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q005512",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.