Sullivan County Regional

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

SULLIVAN COUNTY REGIONAL

Practice address

154 Blountville Bypass
Blountville, TN 37663

Phone

(423) 279-2783

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Michele Shelton

Title

Tenndercare Outreach Specialist

Phone

(423) 677-6766

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982809935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIDDEN VALLEY RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376633413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 BLOUNTVILLE BYPASS",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "37663",
            "telephone_number": "423-279-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN COUNTY REGIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "TENNDERCARE OUTREACH SPECIALIST",
        "authorized_official_telephone_number": "423-677-6766"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah McKinslee Stephens, RN
• Gina Carolyn Stone, RN
• Sullivan County EMS
• Sullivan County Health Department
• Sullivan County Health Department Pharmacy
• Sullivan County Regional Health Department
• Sullivan County Regional Health Department
• Sullivan Health Department
• Brandon Edward Taylor, DPT
• Hannah Taylor

• Case Manager/Care Coordinator in Blountville, TN
• Providers in Blountville, TN by specialty
• Case Manager/Care Coordinator in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.