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

Sudha Raj Kumar, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1275169187

Sudha Raj Kumar, NURSEPRACTITIONER is a Nurse Practitioner in Elizabethton, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 2019, 7 years ago. Practices with Medical Care PLLC, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
TN
In the registry since
2020
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Practice location Address checks out

1500 W Elk Ave
Elizabethton, TN 37643-2654
Phone: (423) 543-2584
Fax: (423) 722-2060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 421 Old Embreeville Rd, Jonesborough, TN 37659-6176 — (423) 946-5140

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 27158 (TN)

Record details

NPI number1275169187
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 23, 2020
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Medical Care Pllc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elizabethton