Active NPI
Kelsey Dawn Furr, RT(R)
- Diagnostic Radiology Physician
- Johnson City, TN
National Provider Identifier
1902496128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 601951
- Practice address
- 400 N State of Franklin Rd
Johnson City, TN 37604-6035 - Phone
- (423) 431-6111
- NPI assigned
- Jan 21, 2021
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 601951 | TN | Primary |
Addresses
Primary practice location
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Mailing address
123 Cedar St
Johnson City, TN 37601-5260
Phone (423) 297-7566
Other practice location 1
Lamont St and Veterans Way
Johnson City, TN 37601
Phone (423) 926-1171 ext. 5704
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 601951 | TN | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1902496128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 CEDAR ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376015260",
"telephone_number": "423-297-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N STATE OF FRANKLIN RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046035",
"telephone_number": "423-431-6111"
}
],
"practiceLocations": [
{
"address_1": "Lamont St and Veterans Way",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "37601",
"country_code": "US",
"telephone_number": "423-926-1171 x5704",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FURR",
"first_name": "KELSEY",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "RT(R)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "601951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.