ROBERT J NETHERLAND NP
NPI 1063767473
Nurse Practitioner - Family in Kingsport, TN

Active since July 23, 2012
2000 BROOKSIDE DR, 3RD FLOOR, KINGSPORT, TN 37660(423) 857-5905(423) 857-5904 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert J Netherland Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT J NETHERLAND NP (NPI 1063767473) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (16816) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1063767473
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameROBERT J NETHERLANDCredential: NP
Location Address2000 BROOKSIDE DR, 3RD FLOORKingsport, TN 37660-4627
Mailing Address2000 Brookside Dr, 3rd FloorKingsport, TN 37660-4627 · (423) 857-5905 · Fax (423) 857-5904
Fax(423) 857-5904
Sole ProprietorNo
Enumeration DateJuly 23, 2012
Last NPPES UpdateFebruary 21, 2017
NPI 1063767473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 16816
2000 BROOKSIDE DR, Kingsport, TN 37660

Other Identifiers 6

Medicaid1063767473VA
Medicaid7100220310KY
OtherP01312579TN · Railroad Medicare
Medicaid1530134TN
Medicare PIN103I507723TN
Medicaid1063767473NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
2000 BROOKSIDE DR
KINGSPORT, TN 37660
Internal Medicine
2000 BROOKSIDE DR, THIRD FLOOR
KINGSPORT, TN 37660
Emergency Medicine
2000 BROOKSIDE DR
KINGSPORT, TN 37660
Family Medicine
2000 BROOKSIDE DR
KINGSPORT, TN 37660
Nurse Practitioner (Pediatrics)
2000 BROOKSIDE DR
KINGSPORT, TN 37660
Emergency Medicine
2000 BROOKSIDE DR, INDIAN PATH HOSPITAL
KINGSPORT, TN 37660
Nurse Anesthetist, Certified Registered
2000 BROOKSIDE DR
KINGSPORT, TN 37660
Nurse Anesthetist, Certified Registered
2000 BROOKSIDE DR
KINGSPORT, TN 37660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Netherland's NPI number?

The NPI number for Robert Netherland is 1063767473. It was assigned to this individual provider in the NPPES registry on July 23, 2012.

Where is Robert Netherland located?

Robert Netherland practices at 2000 Brookside Dr 3rd Floor, Kingsport, TN 37660. The listed phone number is (423) 857-5905.

What is Robert Netherland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Robert Netherland was last updated on February 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.