| NPI | 1194921874 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-06-21 |
| Last Updated | 2025-12-30 |
| Authorized Official | Andrew Rosendahl Chief Financial Officer Phone: 8655418154 |
| Mailing Address | Po Box 15004 Knoxville, TN 37901-5004 United States Phone: (865) 541-8895 | Fax: (865) 633-4808 📍 View Map |
| Primary Practice Address | 2018 Clinch Avenue, South Tower 1st Floor Knoxville, TN 37916-3791 United States Phone: (865) 637-8481 | Fax: (865) 246-7560 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TN | Q004200 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 208000000X – Pediatrics | - | - |
| No | 363LF0000X – Nurse Practitioner, Family | - | - |
| No | 363LP0200X – Nurse Practitioner, Pediatrics | - | - |
| Yes | 2080P0214X – Pediatrics, Pediatric Pulmonology | - | - |
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About NPI 1194921874
East Tennessee Children'S Hospital Association Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1194921874. The primary specialty listed is Pediatrics, Pediatric Pulmonology. The organization is located in Knoxville, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-06-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1194921874?
NPI 1194921874 belongs to East Tennessee Children'S Hospital Association Inc., a Pediatrics, Pediatric Pulmonology in Knoxville, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1194921874 active?
The current status of NPI 1194921874 in the NPPES registry is Active. The record was last updated on 2025-12-30.
What specialty is NPI 1194921874?
NPI 1194921874 is classified under the taxonomy Pediatrics, Pediatric Pulmonology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1194921874?
You can verify NPI 1194921874 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1194921874?
The primary practice address on file for NPI 1194921874 is 2018 Clinch Avenue, South Tower 1st Floor, Knoxville, TN 37916-3791. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1194921874 issued?
NPI 1194921874 was first issued (enumerated) on 2007-06-21. The NPPES record was last updated on 2025-12-30.
Practice Location Map
East Tennessee Children'S Hospital Association Inc. is located at 2018 Clinch Avenue, South Tower 1st Floor, Knoxville, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as East Tennessee Children'S Hospital Association Inc.. All records sourced from the CMS NPPES registry.