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COLLEGE OF NURSING CLINICS
NPI 1124593132
Nurse Practitioner - Family in Johnson City, TN

Active since October 05, 2018CLIA Certified · 3 labs
2151 CENTURY LN, JOHNSON CITY, TN 37604(423) 926-2500(423) 926-5999 Get Directions Write a Review

NPPES record last updated: October 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 15, 2018, Oct 5, 2018 (2 updates tracked since 2018).

About College Of Nursing Clinics NPPES

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

COLLEGE OF NURSING CLINICS (NPI 1124593132) is a healthcare organization registered as a family in Johnson City, Tennessee and active in the NPI registry since October 2018. The organization holds 3 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists Betty J. King, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1124593132
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEAST TENNESSEE STATE UNIVERSITY
Location Address2151 CENTURY LNJohnson City, TN 37604-4469
Mailing Address365 Stout Drive, Box 70403Johnson City, TN 37614 · (423) 433-6141 · Fax (423) 433-6062
Phone(423) 926-2500
Fax(423) 926-5999
Organization SubpartYes
Authorized OfficialBetty J. KingChief Financial Officer · (423) 439-4414
Enumeration DateOctober 5, 2018
Last NPPES UpdateOctober 15, 20182 updates tracked since enumeration
✔ NPI 1124593132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedDentistTaxonomy 122300000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
2151 CENTURY LN, Johnson City, TN 37604
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Other Names 1

Doing Business AsCollege Of Nursing Clinics

Secondary Practice Locations 5

Location 11901 S Shady StMountain City, TN 37683-2021 · Phone (423) 727-1150 · Fax (423) 727-1151
Location 2391 Court SqSneedville, TN 37869 · Phone (423) 733-2121 · Fax (423) 733-4563
Location 32700 Main StSneedville, TN 37869-3041 · Phone (423) 733-2819 · Fax (423) 733-8509
Location 4365 Stout Drive, Suite 160Johnson City, TN 37614 · Phone (423) 439-4225 · Fax (423) 439-4560
Location 5202 W Fairview AveJohnson City, TN 37604-5611 · Phone (423) 439-7371 · Fax (423) 439-7383

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D0902555

East Tennessee State University Dba East Tn State University Hancock County Middle High School Base · Sneedville, TN
Active · expires Jun 21, 2027
CLIA Number44D0902555
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorAmanda Moorhouse
Laboratory Phone(423) 733-2819
Laboratory LocationEast Tennessee State University Dba East Tn State University Hancock County Middle High School Base2700 Main Street PO Box 723, Sneedville, TN 37869
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D0862277

East Tennessee State University Dba East Tn State University Health Center · Johnson City, TN
Active · expires Dec 13, 2026
CLIA Number44D0862277
Laboratory TypeSchool/Student Health Service
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorKayla N. Norman
Laboratory Phone(423) 439-4225
Laboratory LocationEast Tennessee State University Dba East Tn State University Health Center365 Stout Drive Suite 160 Nicks Hall, Johnson City, TN 37614
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D0860533

East Tennessee State University Dba East Tennessee State University Mountain City · Mountain City, TN
Active · expires Aug 28, 2026
CLIA Number44D0860533
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorAmanda D. Cornett
Laboratory Phone(423) 727-1150
Laboratory LocationEast Tennessee State University Dba East Tennessee State University Mountain City1901 South Shady Street, Mountain City, TN 37683
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MS. REBECCA ELLEN FLORA-WATERMAN APRN, FNP
Nurse Practitioner (Primary Care)
2151 CENTURY LN
JOHNSON CITY, TN 37604
Washington County (423) 926-2500
DR. ERNEST DAVID MAUPIN DNP, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2151 CENTURY LN
JOHNSON CITY, TN 37604
Washington County (423) 926-2500
DR. LINDA HALL ROTHERY DNP, FNP-BC
Nurse Practitioner (Family)
2151 CENTURY LN
JOHNSON CITY, TN 37604
Washington County (423) 439-4515
JO-ANN S. MARRS NURSE PRACTITIONER
Nurse Practitioner (Family)
2151 CENTURY LN
JOHNSON CITY, TN 37604
Washington County (423) 926-2500
ANNE E WALDROP FNP
Nurse Practitioner (Family)
2151 CENTURY LN
JOHNSON CITY, TN 37604
Washington County (423) 439-4515
EAST TENNESSEE STATE UNIVERSITY
Pharmacy (Clinic Pharmacy)
2151 CENTURY LN
JOHNSON CITY, TN 37604
Washington County (423) 926-2500
LISA MARIE SCHOLZ NP
Nurse Practitioner (Adult Health)
2151 CENTURY LN
JOHNSON CITY, TN 37604
Washington County (423) 926-2500
ASHLEY BROOKE JONES
Social Worker (Clinical)
2151 CENTURY LN
JOHNSON CITY, TN 37604
Washington County (423) 926-2500

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 East Tennessee State University's NPI number?

The NPI number for East Tennessee State University is 1124593132. It was assigned to this organization in the NPPES registry on October 5, 2018. The provider is doing business as College Of Nursing Clinics.

Where is East Tennessee State University located?

East Tennessee State University is located at 2151 Century Ln, Johnson City, TN 37604. The listed phone number is (423) 926-2500.

What is East Tennessee State University's specialty?

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

Does East Tennessee State University hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for East Tennessee State University was last updated on October 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.