MRS. ANGELA SEWELL RADER


Address: 300 Med Tech Pkwy, Johnson City, TN 37604-2277
Phone: 4233021200

MRS. ANGELA SEWELL RADER (NPI# 1407056328) 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) 1407056328
Entity Type Individual
Full Name MRS. ANGELA SEWELL RADER
Other Name MISS ANGELA MAE RADER
Credential FNP
Practice Address 300 Med Tech Pkwy
Johnson City
TN 37604-2277
Practice Telephone 4233021200
Mailing Telephone 4233021200
Enumeration Date 2007-07-19
Last Update Date 2011-10-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner APN 12619 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 300 MED TECH PKWY
City JOHNSON CITY
State TN
Zip Code 37604-2277

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114033628 Mountain States Health Alliance General Acute Care Hospital 300 Med Tech Pkwy, Johnson City, TN 37604-2277 2006-08-21
1730653494 Tennessee Cancer Specialist Pllc Internal Medicine 300 Med Tech Pkwy, Johnson City, TN 37604-2277 2019-01-16
1114437779 Alexis Greene Nurse Practitioner 300 Med Tech Pkwy, Johnson City, TN 37604-2277 2017-10-09
1194267765 Brett Lane Reece General Acute Care Hospital 300 Med Tech Pkwy, Johnson City, TN 37604-2277 2016-11-13
1003287111 Amber Lane Registered Nurse 300 Med Tech Pkwy, Johnson City, TN 37604-2277 2015-10-14
1386036903 Eddie Hughes Nurse Practitioner 300 Med Tech Pkwy, Johnson City, TN 37604-2277 2015-02-19
1104233501 Valley Ridge Emergency Physicians, LLP Emergency Medicine 300 Med Tech Pkwy, Johnson City, TN 37604-2277 2014-07-17
1750725008 Jennifer Leigh Cannon Nurse Practitioner 300 Med Tech Pkwy, Johnson City, TN 37604-2277 2013-04-17
1992075022 Rola Mousa Franks Pharmacist 300 Med Tech Pkwy, Johnson City, TN 37604-2277 2012-01-05
1386926426 Brianne Amacher Williams Pharmacist 300 Med Tech Pkwy, Franklin Woods Community Hospital Pharmacy, Johnson City, TN 37604-2277 2011-09-14
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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 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205468923 Bobby Ray Nichols IIi Nurse Practitioner 2708 S Greenwood Dr, Johnson City, TN 37604-3260 2020-02-11
1932748829 Shape Shifters Weight Loss and Joint Center Nurse Practitioner 104 University Pkwy Ste 1, Johnson City, TN 37604-7349 2019-12-26
1205484920 Violetta Ward Nurse Practitioner 1505 Chickees St, Johnson City, TN 37604-7102 2019-08-27
1972077816 Betty Christian Kinser Nurse Practitioner 3135 Peoples St Ste 303, Johnson City, TN 37604-4130 2019-01-14
1912489261 Casey Lynn Davis Nurse Practitioner 208 Sunset Dr Ste 340, Johnson City, TN 37604-2521 2018-09-04
1356831101 Sheena L Tullock Nurse Practitioner 2428 Knob Creek Rd Ste 102, Johnson City, TN 37604-2396 2018-05-17
1093212516 Brandy Michelle Story Nurse Practitioner 1321 Sunset Dr Ste 11, Johnson City, TN 37604-7902 2018-04-11
1265959316 Ashley Gross Nurse Practitioner 411 Princeton Rd Ste 101, Johnson City, TN 37601-2049 2017-08-29
1114454857 Janet Gar Nurse Practitioner 1319 Bell Ridge Rd Apt 703, Johnson City, TN 37601-8021 2017-05-12
1720527674 Kristina Bagley Nurse Practitioner 101 Medtech Parkway, Suite 200, Johnson City, TN 37604-4007 2017-02-13
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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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