Organization Active NPI

Holston Regional Alternative Medicine

  • Primary Care Clinic/Center
  • Kingsport, TN
National Provider Identifier
1912194028
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD017578 Issued in TN
Legal business name
HOLSTON REGIONAL ALTERNATIVE MEDICINE
Practice address
1303 E Center St
Kingsport, TN 37664-2444
Phone
(423) 384-4443
Fax
(423) 239-9649
NPI assigned
Oct 2, 2007
Last updated
Jan 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Dr. John James Tasker, M.D.
Title
Physician
Phone
(423) 384-9266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD017578 TN Primary

Addresses

Primary practice location

1303 E Center St
Kingsport, TN 37664-2444

Mailing address

1303 E Center St
Kingsport, TN 37664-2444
Phone (423) 384-4443

Other identifiers 1

IdentifierTypeStateIssuer
6205721MedicaidVA

National Provider Directory

National Provider Directory

Locations

1303 E Center St
Kingsport, TN 37664
Phone (423) 384-2820

1507 Fort Henry Dr
Kingsport, TN 37664
Phone (423) 247-0233

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1912194028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 E CENTER ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642444",
            "telephone_number": "423-384-4443",
            "fax_number": "423-239-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E CENTER ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642444",
            "telephone_number": "423-384-4443",
            "fax_number": "423-239-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLSTON REGIONAL ALTERNATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "TASKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "423-384-9266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD017578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6205721",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.