JOHNNY RAY RIVERS (NPI# 1992172399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992172399 |
Entity Type | Individual |
Full Name | JOHNNY RAY RIVERS |
Credential | FNP |
Practice Address |
108 Lovell Rd Suite B Knoxville TN 37934-1903 |
Practice Telephone | 8652887777 |
Practice Fax Number | 8652887775 |
Mailing Telephone | 8652887777 |
Mailing Fax Number | 8652887775 |
Enumeration Date | 2015-09-01 |
Last Update Date | 2015-09-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
20336 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | LICENSE NUMBER | 20336 | 01 |
Street Address |
108 LOVELL RD SUITE B |
City | KNOXVILLE |
State | TN |
Zip Code | 37934-1903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881947885 | Urgent and Family Care, LLC | Clinic/Center | 108 Lovell Rd, Suite B, Knoxville, TN 37934-1903 | 2012-10-16 |
1598148736 | Knoxville Endocrinology Clinic, LLC | Clinic/Center | 108 Lovell Rd, Knoxville, TN 37934-1903 | 2015-07-07 |
1093139339 | Urgent Family Care Pllc | Clinic/Center | 108 Lovell Rd, Ste B, Knoxville, TN 37934-1903 | 2014-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
1073087714 | Farragut Modern Dentistry, PC | Dentist | 109 Campbell Station Rd., Farragut, TN 37934 | 2019-01-16 |
1669949764 | Cynthia Boger | Optometrist | 11289 Parkside Dr Spc 1108, Knoxville, TN 37934 | 2018-10-26 |
1306385927 | Lindsey A Kelley | Registered Nurse | 11217 West Point Drive, Suite 2, Knoxville, TN 37934 | 2017-02-15 |
1740736487 | Julie Noll | Occupational Therapy Assistant | 312 Rockwell Farm Lane, Knoxville, TN 37934 | 2016-09-01 |
1457719411 | Adrianne Whitelaw | Occupational Therapist | 10717 Deep Woods Lane, Knoxville, TN 37934 | 2016-02-05 |
1821486150 | Will Parrott | Physical Therapy Assistant | 917 Weatherly Hills Blvd, Knoxville, TN 37934 | 2015-01-09 |
1679988380 | Lutheran Medical Center | Health Maintenance Organization | 305 Dominick Pont, Knoxville, TN 37934 | 2014-06-23 |
1518396761 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 10930 Parkside Dr., Knoxville, TN 37934 | 2013-11-08 |
1770879090 | Meredith Tonks | Optometrist | 12744 Kingston Pike Ste 108, Knoxville, TN 37934 | 2011-06-24 |
Find all providers in zip 37934 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750982658 | Kirsten Marie Doerfer | Nurse Practitioner | 8512 Golden Cloud Ln, Knoxville, TN 37931-3164 | 2020-11-06 |
1801304415 | Maria Hurt | Nurse Practitioner | 900 E Hill Ave Ste 290, Knoxville, TN 37915-2568 | 2018-01-17 |
1881123214 | Alicia Jill Dunaway | Nurse Practitioner | 6716 Central Avenue Pike Ste 8, Knoxville, TN 37912-1425 | 2017-06-08 |
1134352016 | American Medical Works Inc | Nurse Practitioner | 11433 Couch Mill Rd, Knoxville, TN 37931-2908 | 2009-08-26 |
1679171839 | Christine Zachman | Nurse Practitioner | 11416 Grigsby Chapel Rd Ste 102, Knoxville, TN 37934-7804 | 2020-10-10 |
1972128080 | Kayla Harrison | Nurse Practitioner | 101 Glenleigh Ct, Knoxville, TN 37934-3052 | 2020-06-15 |
1972157402 | Valerie Jordan | Nurse Practitioner | 9314 Park West Blvd Ste 100, Knoxville, TN 37923-4338 | 2019-08-01 |
1033763081 | Caitlin Gannon | Nurse Practitioner | 7211 Wellington Dr Ste 201, Knoxville, TN 37919-5968 | 2019-07-29 |
1578115952 | Hannah Greene | Nurse Practitioner | 9325 S Northshore Dr, Knoxville, TN 37922-6548 | 2019-07-15 |
1417450339 | Christine L Bloom | Nurse Practitioner | 140 Dameron Ave, Knoxville, TN 37917-6413 | 2018-03-16 |
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.