Provider Type Icon

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC. NPI 1659576825


NPI Information

NPI: 1659576825
Provider Name: EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.

Doing Business As: NORTH KNOXVILLE PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1400 DUTCH VALLEY DR
KNOXVILLE, TN
ZIP 37918
Phone: (865) 689-1122
Get Directions

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. is a pediatrics in Knoxville, TN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. NPI is 1659576825. The provider is registered as an organization entity type.
The provider Is Doing Business As North Knoxville Pediatrics.

The provider's business location address is:

1400 DUTCH VALLEY DR
KNOXVILLE, TN
ZIP 37918-424
Phone: (865) 689-1122
Fax: (866) 340-3781

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

The enumeration date for this NPI number is 6/18/2007 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
1261QP2300XClinic/CenterPrimary CareNo
2363LF0000XNurse PractitionerFamilyNo
3363LP0200XNurse PractitionerPediatricsNo
4208000000XPediatricsYes

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
1Q002812MEDICAIDTENNESSEE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.