SUDHA RAJ KUMAR


Address: 2151 Century Ln, Johnson City, TN 37604-4469
Phone: 4239262500

SUDHA RAJ KUMAR (NPI# 1275169187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275169187
Entity Type Individual
Full Name SUDHA RAJ KUMAR
Credential NURSE PRACTITIONER
Practice Address 2151 Century Ln
Johnson City
TN 37604-4469
Mailing Address Po Box 70403
Johnson City
TN 37614-1703
Practice Telephone 4239262500
Mailing Telephone 4234394381
Enumeration Date 2020-03-23
Last Update Date 2020-08-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
27158 TN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
421 Old Embreeville Rd, Jonesborough, TN 376596176 4239465140

Other Providers SUDHA KUMAR

NPI Name Taxonomy Address Enumeration
1669525853 Sudha Kumar Pharmacist 310 Story St, Boone, IA 50036-3530 2007-01-19
1518304831 Sudha D. Kumar Social Worker 3621 Glencrest Dr, Modesto, CA 95355-8431 2013-05-28
1093822025 Sudha Kumar Specialist 1202 E Sonterra Blvd, Suite 303, San Antonio, TX 78258-4089 2006-08-24
1164439634 Sudha Kumar Pediatrics 2730-b Prosperity Avenue, Fairfax, VA 22031 2006-08-01

Office Location

Street Address 2151 CENTURY LN
City JOHNSON CITY
State TN
Zip Code 37604-4469

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245238914 Rebecca A Morrison Nurse Practitioner 2151 Century Ln, Johnson City, TN 37604-4469 2005-07-07
1710522636 Natalie Grace Wigle Social Worker 2151 Century Ln, Johnson City, TN 37604-4469 2019-11-14
1093281297 Ernest David Maupin Nurse Practitioner 2151 Century Ln, Johnson City, TN 37604-4469 2018-10-16
1124593132 East Tennessee State University Social Worker 2151 Century Ln, Johnson City, TN 37604-4469 2018-10-05
1760923536 Tonja Schnelle Nurse Practitioner 2151 Century Ln, Johnson City, TN 37604-4469 2017-03-14
1477009215 Amanda York Social Worker 2151 Century Ln, Johnson City, TN 37604-4469 2016-08-31
1770933186 Sarah S Carlisle Dentist 2151 Century Ln, Johnson City, TN 37604-4469 2016-06-16
1154780716 East Tennessee State University Pharmacy 2151 Century Ln, Johnson City, TN 37604-4469 2016-02-11
1831554575 Paige R Mullins Nurse Practitioner 2151 Century Ln, Johnson City, TN 37604-4469 2015-12-23
1477959609 Kyli Riehl Whitehead Nurse Practitioner 2151 Century Ln, Johnson City, TN 37604-4469 2014-11-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063025724 Victoria Elizabeth Mcmanus Nurse Practitioner 365 Harry L Dr Ste 110, Johnson City, NY 13790-1471 2020-08-24
1649880139 Amanda Danielle Ledford Nurse Practitioner 3 Enfield Ct, Johnson City, TN 37604-9101 2020-08-09
1861000135 Deborah L Johnson Nurse Practitioner 2 Mcgregor Pl, Johnson City, TN 37604-1454 2020-07-22
1255978417 William Mcguire Nurse Practitioner 176 Willocks Rd, Johnson City, TN 37601-6274 2019-12-06
1881248664 Caiti Riden Nurse Practitioner 316 Marketplace Dr Ste 10, Johnson City, TN 37604-2595 2019-07-30
1699330282 Courtney S Willis Nurse Practitioner 2203 N Greenwood Dr, Johnson City, TN 37604-7030 2019-05-08
1861955452 Cindy Canter Nurse Practitioner 3552 Greenwood Dr, Johnson City, TN 37604-2834 2019-04-10
1366908980 Holly Anne Parvin Nurse Practitioner 3209 W Walnut St, Johnson City, TN 37604-5949 2019-02-19
1891261376 Lindsey Toney Nurse Practitioner 980 Smalling Rd, Johnson City, TN 37601-8208 2018-10-22
1821572868 Karyn Kimberly Bruton Nurse Practitioner 1723 N Roan St, Johnson City, TN 37601-3949 2018-09-15
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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