Active NPI
Asbury, Inc.
- Skilled Nursing Facility
- Johnson City, TN
National Provider Identifier
1932262334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0000000290
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7440347 | Medicaid | TN | |
| 0062417 | Other | TN | BLUE CROSS |
| 0445162 | Medicaid | TN |
National Provider Directory
National Provider DirectoryMember 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.