SARAH M MCRAE


Address: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604-2364
Phone: 4237945520

SARAH M MCRAE (NPI# 1770994972) 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) 1770994972
Entity Type Individual
Full Name SARAH M MCRAE
Credential NP
Practice Address 301 Med Tech Pkwy
Suite 240
Johnson City
TN 37604-2364
Mailing Address 215 E Springbrook Dr
Johnson City
TN 37601-1761
Practice Telephone 4237945520
Practice Fax Number 4232820720
Mailing Telephone 4237945520
Mailing Fax Number 4232826940
Enumeration Date 2014-05-12
Last Update Date 2020-05-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 5007059 NC Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
5007059 NC Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
18593 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN Q010966 05

Office Location

Street Address 301 MED TECH PKWY
SUITE 240
City JOHNSON CITY
State TN
Zip Code 37604-2364

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538162748 Alfonzo S Arze Obstetrics & Gynecology 301 Med Tech Pkwy, Suite 200, Johnson City, TN 37604 2005-05-23
1659933901 Andrew A Kovacs Nurse Practitioner 301 Med Tech Pkwy, Johnson City, TN 37604-2630 2019-07-07
1114472883 Tenessa A Tipton Nurse Practitioner 301 Med Tech Pkwy, Johnson City, TN 37604-2630 2016-08-23
1437604535 Erika Masters Registered Nurse 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604-2364 2016-08-18
1013462407 Ariel Denton Nurse Practitioner 301 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-2364 2016-08-16
1023466786 Tracy Romans Registered Nurse 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604-2364 2016-06-02
1073960381 Erin Mcpherson Registered Nurse 301 Med Tech Pkwy, Suite 160, Johnson City, TN 37604-2364 2016-05-17
1265838650 Vanessa L Ailey Advanced Practice Midwife 301 Med Tech Pkwy, Suite 200, Johnson City, TN 37604 2014-11-12
1336558626 Angela D Deschner Registered Nurse 301 Med Tech Pkwy, Ste 240, Johnson City, TN 37604 2014-08-12
1649519869 Michael A Snyder Family Medicine 301 Med Tech Pkwy, Johnson City, TN 37604-2630 2013-02-07
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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 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
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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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