Organization Active NPI

Vonore Pain Management

  • Pain Clinic/Center
  • Vonore, TN
National Provider Identifier
1922304500
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
VONORE PAIN MANAGEMENT
Practice address
1255 Highway 411
Suite 6
Vonore, TN 37885-2457
Phone
(423) 884-3400
Fax
(423) 884-3401
NPI assigned
Jan 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Retha E Alexander, APN
Title
Owner/Practitioner
Phone
(865) 884-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

1255 Highway 411
Suite 6
Vonore, TN 37885-2457

Mailing address

1255 Highway 411
Suite 6
Vonore, TN 37885-2457
Phone (423) 884-3400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1922304500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 HIGHWAY 411",
            "address_2": "SUITE 6",
            "city": "VONORE",
            "state": "TN",
            "postal_code": "378852457",
            "telephone_number": "423-884-3400",
            "fax_number": "423-884-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 HIGHWAY 411",
            "address_2": "SUITE 6",
            "city": "VONORE",
            "state": "TN",
            "postal_code": "378852457",
            "telephone_number": "423-884-3400",
            "fax_number": "423-884-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VONORE PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "RETHA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "865-884-3400",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vonore, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.