STUDENT UNIVERSITY HEALTH SERVICES
NPI 1568570273
Clinic/Center - Multi-Specialty in Johnson City, TN

Active since August 25, 2006
365 STOUT DRIVE, NICKS HALL RM 160, JOHNSON CITY, TN 37614(423) 439-4225(423) 439-4560 Get Directions Write a Review

NPPES record last updated: September 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2017, Feb 27, 2017 (2 updates tracked since 2017).

About Student University Health Services NPPES

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

STUDENT UNIVERSITY HEALTH SERVICES (NPI 1568570273) is a healthcare organization registered as a multi-specialty in Johnson City, Tennessee and active in the NPI registry since August 2006. The organization lists Betty J King, Acting Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1568570273
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameEAST TENNESSEE STATE UNIVERSITY
Location Address365 STOUT DRIVE, NICKS HALL RM 160Johnson City, TN 37614-6500
Mailing Address365 Stout Drive Box 70403Johnson City, TN 37614-1703 · (423) 439-4515 · Fax (423) 439-5780
Fax(423) 439-4560
Organization SubpartNo
Authorized OfficialBetty J KingActing Chief Financial Officer · (423) 439-4414
Enumeration DateAugust 25, 2006
Last NPPES UpdateSeptember 22, 20172 updates tracked since enumeration
NPI 1568570273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
365 STOUT DRIVE, Johnson City, TN 37614

Other Names 1

Doing Business AsStudent University Health Services

Other Identifiers 3

Medicare OSCAR/certification3709292
Medicare PIN3709292
Medicaid3709292TN

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner
365 STOUT DRIVE, SUITE 160
JOHNSON CITY, TN 37614
Clinical Nurse Specialist (Adult Health)
365 STOUT DRIVE, NICKS HALL, ROOM 160
JOHNSON CITY, TN 37614
Nurse Practitioner (Psychiatric/Mental Health)
365 STOUT DRIVE, SUITE 160
JOHNSON CITY, TN 37614
Nurse Practitioner (Family)
365 STOUT DRIVE, SUITE 160
JOHNSON CITY, TN 37614
Nurse Practitioner (Family)
365 STOUT DRIVE, NICKS HALL ROOM 160
JOHNSON CITY, TN 37614

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 1568570273. It was assigned to this organization in the NPPES registry on August 25, 2006. The provider is doing business as Student University Health Services.

Where is East Tennessee State University located?

East Tennessee State University is located at 365 Stout Drive Nicks Hall Rm 160, Johnson City, TN 37614. The listed phone number is (423) 439-4225.

What is East Tennessee State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does East Tennessee State University accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list East Tennessee State University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Tennessee State University was last updated on September 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.