Active NPI
Health Partners of Tennessee LLC
- Adult Health Nurse Practitioner
- Kingston, TN
National Provider Identifier
1982980231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- HEALTH PARTNERS OF TENNESSEE LLC
- Practice address
- 137 De Armond Rd
Kingston, TN 37763-6415 - Phone
- (865) 202-6205
- Fax
- (865) 717-6676
- NPI assigned
- Nov 1, 2011
- 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
- Mrs. Tracey B Burroughs, RN
- Title
- Administrator
- Phone
- (865) 202-6205
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary | ||
| Gerontology Nurse Practitioner | 363LG0600X |
Addresses
Primary practice location
137 De Armond Rd
Kingston, TN 37763-6415
Mailing address
137 De Armond Rd
Kingston, TN 37763-6415
Phone (865) 202-6205
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320105600000",
"number": "1982980231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 DE ARMOND RD",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377636415",
"telephone_number": "865-202-6205",
"fax_number": "865-717-6676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 DE ARMOND RD",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377636415",
"telephone_number": "865-202-6205",
"fax_number": "865-717-6676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH PARTNERS OF TENNESSEE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-01",
"last_updated": "2011-11-01",
"status": "A",
"authorized_official_last_name": "BURROUGHS",
"authorized_official_first_name": "TRACEY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "865-202-6205",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.