NORTHSIDE ELEMENTARY SCHOOL CLINIC
NPI 1275902884
Nurse Practitioner - Family in Johnson City, TN

Q: What is East Tennessee State University's NPI number?

The NPI number for East Tennessee State University is 1275902884. It was assigned to this organization in the NPPES registry on September 24, 2015. The provider is doing business as Northside Elementary School Clinic.

Q: 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.

Active since September 24, 2015

1000 N ROAN ST, JOHNSON CITY, TN 37601(423) 434-5249(423) 434-5295 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Northside Elementary School Clinic NPPES

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

NORTHSIDE ELEMENTARY SCHOOL CLINIC (NPI 1275902884) is a healthcare organization registered as a family in Johnson City, Tennessee and active in the NPI registry since September 2015. The organization lists Betty J King, Acting Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1275902884

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameEAST TENNESSEE STATE UNIVERSITY

Location Address1000 N ROAN STJohnson City, TN 37601-4616

Mailing Address365 Stout Drive Box 70403Johnson City, TN 37614-1703 · (423) 439-4515 · Fax (423) 439-5780

Phone(423) 434-5249

Fax(423) 434-5295

Organization SubpartNo

Authorized OfficialBetty J KingActing Chief Financial Officer · (423) 439-4414

Enumeration DateSeptember 24, 2015

Last NPPES UpdateFebruary 23, 2017

✔ NPI 1275902884 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

1000 N ROAN ST, Johnson City, TN 37601

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Other Names 1

Doing Business AsNorthside Elementary School Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 1275902884. It was assigned to this organization in the NPPES registry on September 24, 2015. The provider is doing business as Northside Elementary School Clinic.

Where is East Tennessee State University located?

East Tennessee State University is located at 1000 N Roan St, Johnson City, TN 37601. The listed phone number is (423) 434-5249.

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.

When was this NPI record last updated?

The NPPES record for East Tennessee State University was last updated on February 23, 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.