Kassidy Nichole Foley, RN
Individual provider Active NPI Community Health Registered Nurse · Mountain City, TN
NPI 1902492044 · NPPES record last updated Dec 14, 2020
Key facts
- NPI
- 1902492044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 242859 (TN)
- Practice address
- 715 W Main St
Mountain City, TN 37683-1217 - Phone
- (423) 727-9731
- Fax
- (423) 727-4153
- NPI assigned
- Dec 14, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242859 | TN | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Tennessee | Past |
Accepting new patients | |
| State of Tennessee | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 242859 | TN | Yes |
Addresses
Primary practice location
715 W Main St
Mountain City, TN 37683-1217
Mailing address
715 W Main St
Mountain City, TN 37683-1217
Phone (423) 727-9731
Other names
- Kassidy Sutherland
Other providers in Mountain City, TN
- East Tennessee State University
- Bruce Marshall Ehlert
- Debra Helen Eisenhower
- Angela S Evans
- Fast Pace Medical Clinic PLLC
- Elizabeth Ralphielle Fralin
- Janice S Fredericks
- Sherri Frittz-Matz
- Frontier Health
- Danielle Fulkrod
All providers in Mountain City, TN · Community Health Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.