Organization Active NPI

Spinal Pain Center, PLLC

  • Family Nurse Practitioner
  • Harriman, TN
National Provider Identifier
1992118939
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16534 Issued in TN
Legal business name
SPINAL PAIN CENTER, PLLC
Practice address
1037 S Roane St
Harriman, TN 37748-7427
Phone
(865) 285-9284
Fax
(865) 882-3664
NPI assigned
Jun 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Janet Pelmore, MD
Title
Medical Director
Phone
(865) 285-9284

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 16534 TN Primary

Addresses

Primary practice location

1037 S Roane St
Harriman, TN 37748-7427

Mailing address

1037 S Roane St
PO Box 1137
Harriman, TN 37748-7427
Phone (865) 285-9284

National Provider Directory

National Provider Directory

Locations

1037 S Roane St
Harriman, TN 37748
Phone (865) 285-9284

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": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1992118939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 S ROANE ST",
            "address_2": "PO BOX 1137",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377487427",
            "telephone_number": "865-285-9284",
            "fax_number": "865-882-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 S ROANE ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377487427",
            "telephone_number": "865-285-9284",
            "fax_number": "865-882-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL PAIN CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "PELMORE",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "865-285-9284",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harriman, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.