NPIMap

Organization Active NPI

Takoma Regional Hospital Dba Takoma Wound Center

Doing business as Takoma Wound Center

  • Nurse Practitioner
  • Greeneville, TN
National Provider Identifier
1881807956
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
TAKOMA REGIONAL HOSPITAL DBA TAKOMA WOUND CENTER
Doing business as
Takoma Wound Center
Practice address
401 Takoma Ave
Greeneville, TN 37743-4647
Phone
(423) 639-3151
Fax
(423) 639-0487
NPI assigned
May 7, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Blin Richards
Title
Cfo
Phone
(423) 636-2376

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary
Orthopaedic Surgery Physician 207X00000X NU
Surgery Physician 208600000X NU

Addresses

Primary practice location

401 Takoma Ave
Greeneville, TN 37743-4647

Mailing address

401 Takoma Ave
Greeneville, TN 37743-4647
Phone (423) 639-3151

Other names 1

  • Takoma Wound Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Takoma Regional Hospital Dba Takoma Medical Associates11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1881807956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TAKOMA AVE",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434647",
            "telephone_number": "423-639-3151",
            "fax_number": "423-639-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TAKOMA AVE",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434647",
            "telephone_number": "423-639-3151",
            "fax_number": "423-639-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKOMA REGIONAL HOSPITAL DBA TAKOMA WOUND CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "BLIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-636-2376",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Takoma Wound Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.