East Tennessee State University
NPI 1275902884ActiveOrganization· Nurse Practitioner, Family· Johnson City, TN
Nurse Practitioner, Family in Johnson City, Tennessee, registered in NPPES in September 2015. The authorized official on file is Betty J. King, Acting Chief Financial Officer.
Overview
| NPI | 1275902884 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2015 |
| Last updated in NPPES | Feb 23, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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