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Alicia Leeann Pugh, FNP-BC

Nurse Practitioner, Family in Kingsport, TN. Individual provider (NPI-1).

NPI number1033749486
StatusActive
Last updated in NPPESDec 23, 2025

Details

NPI
1033749486
Entity type
Individual (NPI-1)
Name
Mrs. Alicia Leeann Pugh
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Jan 23, 2020
Certification date
Dec 23, 2025
Last updated
Dec 23, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family26448TNYes
363LF0000X Nurse Practitioner, Family0024194552VA

Practice location

1905 American Way
Kingsport, TN 37660-5882

Phone 423-230-8200

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Phone 423-952-2111

Other practice locations

164 Paddle Creek Rd
Johnson City, TN 37601-5294

Phone 865-296-1311

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Kingsport, TN

All 221 Family Nurse Practitioner providers in Kingsport · All 2,477 providers in Kingsport

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