MR. KERMIT L. DUGGER FNP PMHNP NPI 1043370687

NPI Information

NPI: 1043370687
Provider Name: MR. KERMIT L. DUGGER, FNP, PMHNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1497 W ELK AVE
SUITE 11
ELIZABETHTON, TN
ZIP 37643
Phone: (423) 542-8929
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MR. Kermit L. Dugger, FNP, PMHNP is a family nurse practitioner in Elizabethton, TN. MR. Kermit L. Dugger, FNP, PMHNP NPI is 1043370687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1497 W ELK AVE
SUITE 11
ELIZABETHTON, TN
ZIP 37643-895
Phone: (423) 542-8929
Fax: (423) 542-8621

The NPI 1043370687 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 3/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0024169795	VIRGINIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	7383	TENNESSEE	No
3	363LF0000X	Nurse Practitioner	Family	APN0000007383	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1043370687	MEDICAID	VIRGINIA
2	VV4804A	MEDICARE PIN	VIRGINIA
3	3343836	MEDICAID	TENNESSEE
4	3709285	MEDICARE UPIN	TENNESSEE
5	C09112	MEDICARE UPIN	VIRGINIA
6	103I504930	MEDICARE PIN	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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