Active NPI
Deborah E Hogan, APRN
- Nurse Practitioner
- Powell, TN
National Provider Identifier
1902076615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 12670
- Practice address
- 7551 Dannaher Way
Powell, TN 37849-4029 - Phone
- (865) 637-9330
- Fax
- (865) 859-7222
- NPI assigned
- Mar 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 12670 | TN | Primary |
Addresses
Primary practice location
7551 Dannaher Way
Powell, TN 37849-4029
Mailing address
900 E Hill Ave
Suite 230
Knoxville, TN 37915-2566
Phone (865) 862-0998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12670 | Other | TN | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12670 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Cancer Specialists PLLC | Past | Accepting new patients | |
| Tennessee Cancer Specialists PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Morristown, TN
- NPI 1275681421
-
- Hematology & Oncology Physician
- Knoxville, TN
- NPI 1841228871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1902076615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E HILL AVE",
"address_2": "SUITE 230",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379152566",
"telephone_number": "865-862-0998",
"fax_number": "865-544-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7551 DANNAHER WAY",
"city": "POWELL",
"state": "TN",
"postal_code": "378494029",
"telephone_number": "865-637-9330",
"fax_number": "865-859-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "DEBORAH",
"middle_name": "E",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "12670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "12670",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Powell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.