Michael Thacker, FNP-C
NPI 1205399508 · Family Nurse Practitioner · Johnson City, TN
Michael Thacker, FNP-C is a Family Nurse Practitioner provider in Johnson City, TN (NPI 1205399508).
Provider details
- NPI number
- 1205399508
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 25386 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
2 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
Additional practice locations (1)
- 100 Clinchfield StKingsport, TN 37660-3681Phone: (423) 247-7111
Registry dates
- Enumerated
- 2019-04-12
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Frequently asked questions
- What is Michael Thacker's NPI number?
- Michael Thacker's National Provider Identifier (NPI) is 1205399508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Thacker's specialty?
- Michael Thacker is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michael Thacker located?
- Michael Thacker's practice location on file with NPPES is 403 Princeton Rd Ste 3, Johnson City, TN 37601-2040.
- What is Michael Thacker's phone number?
- The practice phone number listed in the NPPES registry for Michael Thacker is (423) 302-3681.
- Is Michael Thacker's NPI active?
- Yes — Michael Thacker's NPI (1205399508) is active in the NPPES registry as of the last update on 2026-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.