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East Tennessee State University

Multi-Specialty Clinic/Center in Johnson City, TN · enumerated 2006 · authorized official Betty King, Acting Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568570273

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Registry record

Entity type Organization (Type 2)
Legal business name East Tennessee State University
Other name <Unavail>
Practice address 365 Stout Drive, Nicks Hall Rm 160, Johnson City, TN, 37614
Phone (423) 439-4225
Fax (423) 439-4560
Enumeration date Aug 25, 2006
Last updated in NPPES Sep 22, 2017

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Betty King
Title Acting Chief Financial Officer
Phone (423) 439-4414

Other identifiers

Identifier Type State Issuer
3709292 Medicaid TN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for East Tennessee State University?
NPPES lists Betty King (Acting Chief Financial Officer) as the authorized official for this organization.
What is the NPI number for East Tennessee State University?
The NPI for East Tennessee State University is 1568570273, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-09-22.