Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Richard Enoch Treadway Jr., MSN-FNP

Individual provider Family Nurse Practitioner · NPI 1013355379

Mr. Richard Enoch Treadway Jr., MSN-FNP is a Nurse Practitioner in Morristown, Tennessee. Qualified in 2013, 13 years ago. Practices with Knoxville Heart Group, Inc, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
13
Licensed in
TN
In the registry since
2013
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Practice location Address checks out

705 McFarland St
Morristown, TN 37814-3977
Phone: (423) 492-5450
Fax: (865) 374-2095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 119 Boone Ridge Dr, Johnson City, TN 37615-4998 — (423) 282-1480

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 17703 (TN)

Record details

NPI number1013355379
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN-FNP
Sole proprietorNo
NPI enumeratedJune 10, 2013
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Knoxville Heart Group, Inc. — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Morristown