Organization Active NPI

Tri Cities Esthetics, Inc.

  • Specialist
  • Johnson City, TN
National Provider Identifier
1942475439
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12571 Issued in TN
Legal business name
TRI CITIES ESTHETICS, INC.
Practice address
101 Med Tech Pkwy
Suite 402
Johnson City, TN 37604-4007
Phone
(423) 854-0001
Fax
(423) 854-0002
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Anna B Northrop, FNPNPI 1790954147
Title
President
Phone
(423) 854-0001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 12571 TN Primary

Addresses

Primary practice location

101 Med Tech Pkwy
Suite 402
Johnson City, TN 37604-4007

Mailing address

101 Med Tech Pkwy
Suite 402
Johnson City, TN 37604-4007
Phone (423) 854-0001

National Provider Directory

National Provider Directory

Locations

101 Med Tech Pkwy
Ste 402
Johnson City, TN 37604
Phone (423) 282-1124

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1942475439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MED TECH PKWY",
            "address_2": "SUITE 402",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044007",
            "telephone_number": "423-854-0001",
            "fax_number": "423-854-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MED TECH PKWY",
            "address_2": "SUITE 402",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044007",
            "telephone_number": "423-854-0001",
            "fax_number": "423-854-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITIES ESTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "NORTHROP",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-854-0001",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "12571",
            "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 Sep 24, 2009; 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.