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OCTENNIAL HEALTH SERVICES, LLC
NPI 1649098005
Nurse Practitioner - Family in Johnson City, TN

Active since October 02, 2024
7 WAYLAND CT, JOHNSON CITY, TN 37604(423) 530-1132 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Octennial Health Services, Llc NPPES

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

OCTENNIAL HEALTH SERVICES, LLC (NPI 1649098005) is a healthcare organization registered as a family in Johnson City, Tennessee and active in the NPI registry since October 2024. The organization lists Ashley Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1649098005
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOCTENNIAL HEALTH SERVICES, LLC
Location Address7 WAYLAND CTJohnson City, TN 37604-1139
Mailing Address7 Wayland CtJohnson City, TN 37604-1139
Phone(423) 530-1132
Organization SubpartNo
Authorized OfficialAshley AndersonOwner · (423) 530-1132
Enumeration DateOctober 2, 2024
NPPES CertifiedOctober 2, 2024
✔ NPI 1649098005 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
7 WAYLAND CT, Johnson City, TN 37604
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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

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 Octennial Health Services, LLC's NPI number?

The NPI number for Octennial Health Services, LLC is 1649098005. It was assigned to this organization in the NPPES registry on October 2, 2024.

Where is Octennial Health Services, LLC located?

Octennial Health Services, LLC is located at 7 Wayland Ct, Johnson City, TN 37604. The listed phone number is (423) 530-1132.

What is Octennial Health Services, LLC'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 Octennial Health Services, LLC was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.