Organization Active NPI

Asbury, Inc.

  • Skilled Nursing Facility
  • Johnson City, TN
National Provider Identifier
1932262334
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000290 Issued in TN
Legal business name
ASBURY, INC.
Practice address
105 W Myrtle Ave
Johnson City, TN 37604-5633
Phone
(865) 982-6109
NPI assigned
Dec 18, 2006
Last updated
Jan 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Paulette York
Title
Billing Office
Phone
(865) 982-6109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0000000290 TN Primary

Addresses

Primary practice location

105 W Myrtle Ave
Johnson City, TN 37604-5633

Mailing address

910 Wilder Chapel LN
Maryville, TN 37804-3687
Phone (865) 982-6109

Other identifiers 3

IdentifierTypeStateIssuer
7440347MedicaidTN
0062417OtherTNBLUE CROSS
0445162MedicaidTN

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

910 Wilder Chapel Ln
Maryville, TN 37804

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1932262334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WILDER CHAPEL LN",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378043687",
            "telephone_number": "865-982-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W MYRTLE AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045633",
            "telephone_number": "865-982-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASBURY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "BILLING OFFICE",
        "authorized_official_telephone_number": "865-982-6109"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440347",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0062417",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445162",
            "state": "TN"
        }
    ],
    "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 19, 2010; 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.