NIKI L DOCKERY NP NPI 1770843583

NPI Information

NPI: 1770843583
Provider Name: NIKI L DOCKERY, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC

PECOS Registration: Yes

Address:
301 MED TECH PKWY STE 240
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 794-5520
Get Directions

Niki L Dockery, NP is an adult health nurse practitioner in Johnson City, TN with 12 years of experience. Niki L Dockery, NP NPI is 1770843583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

301 MED TECH PKWY STE 240
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 794-5520
Fax: (423) 282-6940

The NPI 1770843583 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 5/25/2012 and was last updated on 3/8/2021.

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	363LA2200X	Nurse Practitioner	Adult Health	16709	TENNESSEE	Yes
2	363LA2200X	Nurse Practitioner	Adult Health	0024171734	VIRGINIA	No

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	1530448	MEDICAID	TENNESSEE
2	1770843583	MEDICAID	NORTH CAROLINA
3	7100211580	MEDICAID	KENTUCKY
4	1770843583	MEDICAID	VIRGINIA

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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