East Tennessee State University
NPI 1124593132 · Family Nurse Practitioner · Johnson City, TN
East Tennessee State University is a Family Nurse Practitioner organization in Johnson City, TN (NPI 1124593132).
Provider details
- NPI number
- 1124593132
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- East Tennessee State University
- Organization subpart
- Yes
- Authorized official
- Betty King, Chief Financial Officer(423) 439-4414
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Dentist122300000X
Dental Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Pediatric Nurse Practitioner363LP0200X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- College of Nursing Clinics
Additional practice locations (5)
- 202 W Fairview AveJohnson City, TN 37604-5611Phone: (423) 439-7371Fax: (423) 439-7383
- 365 Stout DriveSuite 160Johnson City, TN 37614Phone: (423) 439-4225Fax: (423) 439-4560
- 1901 S Shady StMountain City, TN 37683-2021Phone: (423) 727-1150Fax: (423) 727-1151
- 2700 Main StSneedville, TN 37869-3041Phone: (423) 733-2819Fax: (423) 733-8509
- 391 Court SqSneedville, TN 37869Phone: (423) 733-2121Fax: (423) 733-4563
Registry dates
- Enumerated
- 2018-10-05
- Last updated
- 2018-10-15
Frequently asked questions
- What is East Tennessee State University's NPI number?
- East Tennessee State University's National Provider Identifier (NPI) is 1124593132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Tennessee State University?
- East Tennessee State University is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is East Tennessee State University located?
- East Tennessee State University's practice location on file with NPPES is 2151 Century Ln, Johnson City, TN 37604-4469.
- What is East Tennessee State University's phone number?
- The practice phone number listed in the NPPES registry for East Tennessee State University is (423) 926-2500.
- Who is the authorized official for East Tennessee State University?
- The authorized official listed on East Tennessee State University's NPPES record is Betty King, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Tennessee State University's NPI active?
- Yes — East Tennessee State University's NPI (1124593132) is active in the NPPES registry as of the last update on 2018-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.