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EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. NPI 1588094494


NPI Information

NPI: 1588094494
Provider Name: EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

Doing Business As: EAST TENNESSEE CHILDREN'S HOSPITAL DEVELOPMENTAL BEHAVIORAL CENTER

Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
120 SUBURBAN ROAD SUITE 203
KNOXVILLE, TN
ZIP 37923
Phone: (865) 690-1464
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EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. is a developmental - behavioral pediatrics pediatrics in Knoxville, TN. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. NPI is 1588094494. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As East Tennessee Children's Hospital Developmental Behavioral Center.

The provider's business location address is:

120 SUBURBAN ROAD SUITE 203
KNOXVILLE, TN
ZIP 37923-592
Phone: (865) 690-1464
Fax: (877) 926-0521

The provider's authorized official is Caryn Hawthorne .
The authorized official title is Vice President Finance / Cfo and has the following contact phone number (865) 541-8181.

The enumeration date for this NPI number is 11/14/2013 and was last updated on 6/8/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2363LP0200XNurse PractitionerPediatricsNo
32080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q002970MEDICAIDTENNESSEE

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: 4/28/2024

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