Healthcare Provider Details
I. General information
NPI: 1952331647
Provider Name (Legal Business Name): SUMMIT VIEW HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10805 HARDING DR
KNOXVILLE TN
37932-3240
US
IV. Provider business mailing address
PO BOX 23376
KNOXVILLE TN
37933-1376
US
V. Phone/Fax
- Phone: 865-675-6444
- Fax: 865-218-6133
- Phone: 865-218-6105
- Fax: 865-675-6008
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207SG0201X |
| Taxonomy | Clinical Genetics (M.D.) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | TN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | TN |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | TN |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
RONALD
E
LAWRENCE
Title or Position: CHIEF MANAGER
Credential: MBA, NHA
Phone: 865-218-6105