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EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. NPI 1477941375


NPI Information

NPI: 1477941375
Provider Name: EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.

Doing Business As: ETCH GENETICS CENTER

Classification: Medical Genetics - 207SG0202X
Entity Type: Organization

Specialization: Clinical Biochemical Genetics

Address:
2018 CLINCH AVE
SOUTH TOWER 2ND FLOOR
KNOXVILLE, TN
ZIP 37916
Phone: (865) 525-1425
Get Directions

EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC. is a clinical biochemical genetics medical genetics in Knoxville, TN. The provider is a clinical biochemical geneticist demonstrates competence in performing and interpreting biochemical analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC. NPI is 1477941375. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Etch Genetics Center.

The provider's business location address is:

2018 CLINCH AVE
SOUTH TOWER 2ND FLOOR
KNOXVILLE, TN
ZIP 37916-301
Phone: (865) 525-1425
Fax: (877) 935-4221

The provider's authorized official is Mark B Mason .
The authorized official title is Regional Practice Administrator and has the following contact phone number (865) 541-8053.

The enumeration date for this NPI number is 12/30/2014 and was last updated on 7/29/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerNo
21041C0700XSocial WorkerClinicalNo
3133N00000XNutritionistNo
4133V00000XDietitian, RegisteredNo
5133VN1004XDietitian, RegisteredNutrition, PediatricNo
6133VN1006XDietitian, RegisteredNutrition, MetabolicNo
7207SG0201XMedical GeneticsClinical Genetics (M.D.)No
8207SG0202XMedical GeneticsClinical Biochemical GeneticsYes
9208000000XPediatricsNo
10261QG0250XClinic/CenterGeneticsNo
11363L00000XNurse PractitionerNo
12363LP0200XNurse PractitionerPediatricsNo
13170300000XGenetic Counselor, MSNo

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
1Q020703MEDICAIDTENNESSEE

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

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.