=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437984457
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRUE DIABETES AND WOUND CARE ASSOCIATES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2024
-----------------------------------------------------
Last Update Date | 10/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3815 HIGHWAY 66 S STE 5
-----------------------------------------------------
City | ROGERSVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37857-5197
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-293-0202
-----------------------------------------------------
Fax | 423-293-0102
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3815 HIGHWAY 66 S STE 5
-----------------------------------------------------
City | ROGERSVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37857-5197
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-293-0202
-----------------------------------------------------
Fax | 423-293-0102
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF OPERATIONS/BUSINESS DEV
-----------------------------------------------------
Name | MRS. HELEN TATE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 423-293-0202
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WW0000X
-----------------------------------------------------
Taxonomy Name | Wound Care Registered Nurse
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163WD0400X
-----------------------------------------------------
Taxonomy Name | Diabetes Educator Registered Nurse
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 363LA2100X
-----------------------------------------------------
Taxonomy Name | Acute Care Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------