ANGEL KILGORE
NPI 1720609209
Peer Specialist in Johnson City, TN

Active since May 06, 2020
2408 SUSANNAH ST, JOHNSON CITY, TN 37601(423) 434-6677(423) 461-0000 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angel Kilgore NPPES

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

ANGEL KILGORE (NPI 1720609209) is an individual peer specialist in Johnson City, Tennessee and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1720609209
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameANGEL KILGORE
Location Address2408 SUSANNAH STJohnson City, TN 37601-1732
Mailing Address2408 Susannah StJohnson City, TN 37601-1732 · (423) 434-6677 · Fax (423) 461-0000
Fax(423) 461-0000
Sole ProprietorYes
Enumeration DateMay 6, 2020
NPPES CertifiedMay 6, 2020
NPI 1720609209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2408 SUSANNAH ST, Johnson City, TN 37601

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.

Case Manager/Care Coordinator
2408 SUSANNAH ST
JOHNSON CITY, TN 37601
Case Manager/Care Coordinator
2408 SUSANNAH ST
JOHNSON CITY, TN 37601
Psychiatry & Neurology (Psychiatry)
2408 SUSANNAH ST
JOHNSON CITY, TN 37601
Clinic/Center (Rehabilitation, Substance Use Disorder)
2408 SUSANNAH ST
JOHNSON CITY, TN 37601
Case Manager/Care Coordinator
2408 SUSANNAH ST
JOHNSON CITY, TN 37601
Internal Medicine (Addiction Medicine)
2408 SUSANNAH ST
JOHNSON CITY, TN 37601
Pharmacist
2408 SUSANNAH ST
JOHNSON CITY, TN 37601
Social Worker
2408 SUSANNAH ST
JOHNSON CITY, TN 37601

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 Angel Kilgore's NPI number?

The NPI number for Angel Kilgore is 1720609209. It was assigned to this individual provider in the NPPES registry on May 6, 2020.

Where is Angel Kilgore located?

Angel Kilgore practices at 2408 Susannah St, Johnson City, TN 37601. The listed phone number is (423) 434-6677.

What is Angel Kilgore's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Angel Kilgore was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.