Active NPI
Natalie Sue Nantz, PHARMD
- Pharmacist
- Jellico, TN
National Provider Identifier
1982993424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24206
- Practice address
- 289 N Main St
Jellico, TN 37762-2131 - Phone
- (423) 784-8380
- Fax
- (423) 784-8769
- NPI assigned
- Apr 5, 2011
- Last updated
- Apr 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24206 | TN | Primary |
| Pharmacist | 183500000X | 14442 | KY |
Addresses
Primary practice location
289 N Main St
Jellico, TN 37762-2131
Mailing address
584 McNeil Corn Creek Rd
Rockholds, KY 40759-9640
Phone (423) 784-8380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14442 | KY | MD | Pharmacist |
| 24206 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1982993424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 MCNEIL CORN CREEK RD",
"city": "ROCKHOLDS",
"state": "KY",
"postal_code": "407599640",
"telephone_number": "423-784-8380",
"fax_number": "423-784-8769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 N MAIN ST",
"city": "JELLICO",
"state": "TN",
"postal_code": "377622131",
"telephone_number": "423-784-8380",
"fax_number": "423-784-8769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANTZ",
"first_name": "NATALIE",
"middle_name": "SUE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "24206",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "14442",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jellico, TN
- Terrence Wesley Leveck, MD
- Frederick Warren Martin, O.D.
- Cynthia Ann Mason, LPC-MHSP
- Maximum Potential Physical Therapy, PLLC
- Memorial Hospital, Inc. (Sunbelt Homecare)
- North Campbell Community Hospital Inc
- North Campbell Community Hospital Inc
- Pine Mountain Emergency Physicians
- Progressive Health of Jellico LLC
- Progressive Health of Jellico LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.