APEX HEALTHCARE NPI 1831330067

NPI Information

NPI: 1831330067
Provider Name: APEX HEALTHCARE,
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
208 LYNN GARDEN DR.
KINGSPORT, TN
ZIP 37660
Phone: (423) 247-8811
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APEX HEALTHCARE, is a family nurse practitioner in Kingsport, TN. APEX HEALTHCARE, NPI is 1831330067. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

208 LYNN GARDEN DR.
KINGSPORT, TN
ZIP 37660-191
Phone: (423) 247-8811
Fax: (423) 247-5864

The provider's authorized official is Cheri Denis Dickenson .
The authorized official title is Owner and has the following contact phone number (423) 247-8811.

The enumeration date for this NPI number is 3/18/2009 and was last updated on 7/16/2014.

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	207Q00000X	Family Medicine		MD42820	TENNESSEE	No
2	207Q00000X	Family Medicine		19265	TENNESSEE	No
3	363LF0000X	Nurse Practitioner	Family	7650	TENNESSEE	No
4	363LF0000X	Nurse Practitioner	Family	10969	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	Other Provider Identifier Issuer
1	33456911	MEDICARE PIN	TENNESSEE
2	1517960	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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