=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215874086
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RONDA AGEE
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/30/2026
-----------------------------------------------------
Last Update Date | 04/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 956 RODERICK RD
-----------------------------------------------------
City | KNOXVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37923-1653
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-789-7376
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 956 RODERICK RD
-----------------------------------------------------
City | KNOXVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37923-1653
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-243-8100
-----------------------------------------------------
Fax | 615-425-7427
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WI0500X
-----------------------------------------------------
Taxonomy Name | Infusion Therapy Registered Nurse
-----------------------------------------------------
License Number | 110181
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------