=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780919696
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIN ELIZABETH THOMAS MSN-FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/09/2009
-----------------------------------------------------
Last Update Date | 07/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4 SHERIDAN SQ STE 102
-----------------------------------------------------
City | KINGSPORT
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37660-7435
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-588-7140
-----------------------------------------------------
Fax | 423-588-7141
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6016 BROOKVALE LN STE 200
-----------------------------------------------------
City | KNOXVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37919-4092
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-862-0998
-----------------------------------------------------
Fax | 865-544-1861
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 14245
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------