NIKI L DOCKERY (NPI# 1770843583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770843583 |
| Entity Type | Individual |
| Full Name | NIKI L DOCKERY |
| Credential | NP |
| Practice Address |
301 Med Tech Pkwy Ste 240 Johnson City TN 37604 |
| Mailing Address |
215 E Springbrook Dr Johnson City TN 37601-1761 |
| Practice Telephone | 4237945520 |
| Practice Fax Number | 4232826940 |
| Mailing Telephone | 4237945520 |
| Mailing Fax Number | 4232826940 |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024171734 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
16709 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1530448 | 05 | |
| KY | 7100211580 | 05 | |
| NC | 1770843583 | 05 | |
| VA | 1770843583 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 408 N State of Franklin Rd, Suite 24, Johnson City, TN 376046089 | 4234311810 | 4234311811 |
| Street Address |
301 MED TECH PKWY STE 240 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366471641 | Rachel E Keyt | Physician Assistant | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2006-06-30 |
| 1528673225 | Mary L Trenda | Dietitian, Registered | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-09-10 |
| 1205446457 | Katelyn Elizabeth Watts | Physician Assistant | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-08-03 |
| 1427681899 | Jennifer L Reedy | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-02-13 |
| 1033749486 | Alicia Leeann Pugh | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-01-23 |
| 1083270771 | Kristin A Patchell | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2019-05-17 |
| 1205390747 | Judith L Day | Registered Nurse | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2019-01-29 |
| 1568926004 | Mary J Shephard | Dietitian, Registered | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2019-01-29 |
| 1861967465 | Leah E Merrick | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2018-10-10 |
| 1346726775 | Alexandria R Hill | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851946560 | Virginia Elise Schlitt | Nurse Practitioner | 514 Crystal Springs Cir, Johnson City, TN 37615-2359 | 2019-08-08 |
| 1124268651 | Debra Anne Schaffer | Nurse Practitioner | 30 Harrison St Ste 100, Johnson City, NY 13790-3100 | 2009-02-24 |
| 1588733398 | Helen H Palmer | Nurse Practitioner | James H. Quillen-vamc, Corner of Sidney and Lamont Street, Johnson City, TN 37684 | 2006-11-07 |
| 1225457310 | Aimee W Hurd | Nurse Practitioner | 316 Marketplace Dr, Suite 20, Johnson City, TN 37604-8934 | 2014-04-16 |
| 1538409982 | Laura Ann Sholes | Nurse Practitioner | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2013-02-21 |
| 1134497787 | Ted Allan White | Nurse Practitioner | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2011-12-12 |
| 1225325921 | Kimberly Hageman Merrill | Nurse Practitioner | 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 | 2011-07-01 |
| 1306136742 | Dawn Marie Glass | Nurse Practitioner | 411 Princeton Rd, Suite 101, Johnson City, TN 37601-2049 | 2011-04-19 |
| 1114220472 | Melissa Ann White | Nurse Practitioner | 301 Med Tech Pkwy Ste 110, Johnson City, TN 37604 | 2010-12-08 |
| 1285936930 | Ryan Kara Judson | Nurse Practitioner | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 | 2010-12-01 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on NIKI L DOCKERY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.