NPI Code Details Logo

NPI 1952331647

NPI 1952331647 : SUMMIT VIEW HEALTH SERVICES LLC : KNOXVILLE, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1952331647
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SUMMIT VIEW HEALTH SERVICES LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/05/2006
-----------------------------------------------------
    Last Update Date     |    02/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    10805 HARDING DR 
-----------------------------------------------------
    City                 |    KNOXVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37932-3240
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    865-675-6444
-----------------------------------------------------
    Fax                  |    865-218-6133
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 23376 
-----------------------------------------------------
    City                 |    KNOXVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37933-1376
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    865-218-6105
-----------------------------------------------------
    Fax                  |    865-675-6008
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF MANAGER
-----------------------------------------------------
    Name                 |    MR. RONALD E LAWRENCE 
-----------------------------------------------------
    Credential           |    MBA, NHA
-----------------------------------------------------
    Telephone            |    865-218-6105
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207SG0201X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Genetics (M.D.) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    363LG0600X
-----------------------------------------------------
    Taxonomy Name        |    Gerontology Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.