TAZEWELL EXPRESS CARE
NPI 1164969507
Nurse Practitioner - Family in Tazewell, TN

Active since January 24, 2017CLIA 44D2128145 · Microscopy
951 N BROAD ST, TAZEWELL, TN 37879(423) 259-8661 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tazewell Express Care NPPES

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

TAZEWELL EXPRESS CARE (NPI 1164969507) is a healthcare organization registered as a family in Tazewell, Tennessee and active in the NPI registry since January 2017. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists Amanda Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1164969507
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTAZEWELL EXPRESS CARE
Location Address951 N BROAD STTazewell, TN 37879-4323
Mailing Address951 N Broad StTazewell, TN 37879-4323
Organization SubpartNo
Authorized OfficialAmanda MartinOwner · (423) 259-8661
Enumeration DateJanuary 24, 2017
NPI 1164969507 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
951 N BROAD ST, Tazewell, TN 37879

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

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) 44D2128145

Ado Inc Dba Tazewell Express Care · Tazewell, TN
Active · expires Mar 26, 2027
CLIA Number44D2128145
Laboratory TypePractitioner Other
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorAmanda S. Martin
Laboratory Phone(423) 259-8661
Laboratory LocationAdo Inc Dba Tazewell Express Care951 N Broad St, Tazewell, TN 37879
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 10

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

Family Medicine
951 N BROAD ST
TAZEWELL, TN 37879
Pharmacy
951 N BROAD ST
TAZEWELL, TN 37879
Pharmacist
951 N BROAD ST
TAZEWELL, TN 37879
Family Medicine
951 N BROAD ST
TAZEWELL, TN 37879
Family Medicine
951 N BROAD ST
TAZEWELL, TN 37879
Nurse Practitioner (Family)
951 N BROAD ST
TAZEWELL, TN 37879
Nurse Practitioner (Family)
951 N BROAD ST
TAZEWELL, TN 37879
Nurse Practitioner (Family)
951 N BROAD ST
TAZEWELL, TN 37879

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 Tazewell Express Care's NPI number?

The NPI number for Tazewell Express Care is 1164969507. It was assigned to this organization in the NPPES registry on January 24, 2017.

Where is Tazewell Express Care located?

Tazewell Express Care is located at 951 N Broad St, Tazewell, TN 37879. The listed phone number is (423) 259-8661.

What is Tazewell Express Care's specialty?

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

Does Tazewell Express Care hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2128145) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tazewell Express Care was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.