OrganizationActive
Frontier Health
NPI 1508917642 · Community/Behavioral Health Agency · Kingsport, TN
Provider details
- NPI number
- 1508917642
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Teresa Kidd, President and Ceo(423) 467-3600
- License
- L 3(20)24M3-076-1414 (TN)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2017 Stonebrook Pl
Kingsport, TN 37660-4000
Phone: (423) 224-1417
Fax: (423) 224-1418
Street-level locationGet directions
Mailing address
Po Box 9054
Gray, TN 37615-9054
Other names (DBA / former)
- Doing business as
- Supported Living - Kingsport
- Doing business as
- Supported Living - Kingsport
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2018-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.