LTC PROVIDERS INCORPORATED (NPI# 1861526956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861526956 |
| Entity Type | Organization |
| Organization Name | LTC PROVIDERS INCORPORATED |
| Practice Address |
428 E Burwell Ave Knoxville TN 37917-5007 |
| Practice Telephone | 8655461433 |
| Mailing Telephone | 8655461433 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBORAH ANNE THOMAS (PRESIDENT) |
| Authorized Official Telephone | 8655461433 |
| Authorized Official Credential | NURSE PRACTIONER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN 0000006533 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3348732 | 05 | |
| TN | BCBC TN | 4133158 | 01 |
| TN | 3906597 | 05 | |
| TN | INDIVIDUAL NPI | 1912081381 | 01 |
| Street Address |
428 E BURWELL AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37917-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912081381 | Deborah Anne Thomas | Nurse Practitioner | 428 E Burwell Ave, Knoxville, TN 37917-5007 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601786 | Angela Marie Barnett | Licensed Practical Nurse | 201 W Springdale Ave # 203, Knoxville, TN 37917 | 2018-05-30 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1871011437 | Sara Portwood | Registered Nurse | 140 Dameron Ave., Knoxville, TN 37917 | 2017-09-05 |
| 1962926295 | Dara Steele | Counselor | 201 West Springdale, Knoxville, TN 37917 | 2017-07-28 |
| 1043740657 | Stacy Banks | Counselor | 201 West Springdale Ave., Knoxville, TN 37917 | 2017-06-15 |
| 1861921215 | Amy J Mccowan | Registered Nurse | 201 W. Springdale Ave., Knoxville, TN 37917 | 2017-06-08 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1821454216 | Beth Cannon | Case Manager/Care Coordinator | 201 West Sprindale Ave, Knoxville, TN 37917 | 2016-01-14 |
| 1760874986 | Sierra Brooke Finley | Case Manager/Care Coordinator | 201 W. Springdale Ave, Knoxville, TENNESSEE 37917 | 2015-02-25 |
| 1568860377 | Megumi Takayama Maynard | Family Medicine | 900 E. Oak Hill Avenue, Knoxville, TN 37917 | 2014-12-10 |
| Find all providers in zip 37917 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1598371098 | Angela Ruth Porter | Nurse Practitioner | 333 Huxley Rd, Knoxville, TN 37922-3115 | 2020-09-20 |
| 1326653270 | Khalid Khan | Nurse Practitioner | 9036 Highbridge Dr, Knoxville, TN 37922-1439 | 2020-09-08 |
| 1972117042 | Seth Ingebrigtson | Nurse Practitioner | 4707 Seminole Rd, Knoxville, TN 37918-1548 | 2020-09-04 |
| 1013521285 | Ashley Renee Bonnell | Nurse Practitioner | 2667 Sweeping Rain Ln, Knoxville, TN 37931-3170 | 2020-09-03 |
| 1407460207 | Mofoluwasho Adenekan | Nurse Practitioner | 6100 Stratford Park Blvd, Knoxville, TN 37912-2109 | 2020-08-31 |
| 1790395416 | Jessica Moore | Nurse Practitioner | 232 N Watt Rd, Knoxville, TN 37934-1103 | 2020-08-06 |
| 1598375255 | Abbey Rae Powell | Nurse Practitioner | 10119 Tan Rara Dr, Knoxville, TN 37922-4142 | 2020-08-06 |
| 1194335018 | Jennifer Blair Massaro | Nurse Practitioner | 1424 Whitower Dr, Knoxville, TN 37919-8841 | 2020-08-05 |
| 1194333054 | Sara Ann Dajani | Nurse Practitioner | 7600 Redwood Burl Ln, Knoxville, TN 37931-4183 | 2020-07-16 |
| Find all providers in KNOXVILLE | ||||
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| 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.