Tina A. Rose, NP
Nurse Practitioner, Family in Kingsport, TN. Individual provider (NPI-1).
Details
- NPI
- 1174064950
- Entity type
- Individual (NPI-1)
- Name
- Tina A. Rose
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2017
- Certification date
- Apr 2, 2025
- Last updated
- Apr 2, 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 22402 | TN | Yes |
| 163W00000X | Registered Nurse | 209432 | TN | |
| 363LF0000X | Nurse Practitioner, Family | 0024174660 | VA |
Practice location
2050 Meadowview PkwyKingsport, TN 37660-7475
Phone 423-230-5000 · Fax 423-230-5035
Mailing address
1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192
Phone 423-952-2111
Other practice locations
Bristol, TN 37620-7455
Phone 423-274-8600
Pennington Gap, VA 24277-2853
Phone 423-230-5000
Norton, VA 24273-1631
Phone 276-679-0252
Bristol, VA 24201-7403
Phone 276-469-4200
Gray, TN 37615-6213
Phone 423-467-3000
Norton, VA 24273-3007
Phone 276-679-5874
Elizabethton, TN 37643-2654
Phone 423-543-2584 · Fax 423-722-2060
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.
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All 221 Family Nurse Practitioner providers in Kingsport · All 2,477 providers in Kingsport
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