HOMETOWN FAMILY MEDICAL CLINIC (NPI# 1154763134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154763134 |
| Entity Type | Organization |
| Organization Name | HOMETOWN FAMILY MEDICAL CLINIC |
| Practice Address |
418 B West Central Avenue Jamestown TN 38556 |
| Mailing Address |
Po Box 950 418 B West Central Avenue Jamestown TN 38556-0950 |
| Practice Telephone | 9318798794 |
| Practice Fax Number | 9318798887 |
| Mailing Telephone | 9318798794 |
| Mailing Fax Number | 9318798887 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |
| Authorized Official Name | MS. CONNIE SUE LEE (OWNER) |
| Authorized Official Telephone | 9318798794 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000015369 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
418 B WEST CENTRAL AVENUE |
| City | JAMESTOWN |
| State | TN |
| Zip Code | 38556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619423829 | Chad A Conatser Md Pllc | Internal Medicine | 418 B West Central Avenue, Jamestown, TN 38556 | 2016-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992265805 | Misty Dawn Smith | Speech-Language Pathologist | 342 W Central Avenue, Jamestown, TN 38556 | 2019-03-25 |
| 1871024513 | Mountain People's Health Councils, Inc | Dentist | 104 Reagan Ave, Jamestown, TN 38556 | 2017-03-24 |
| 1417388802 | Ashli Westfelt | Occupational Therapist | 1011 Old Lee Hwy 127 S, Jamestown, TN 38556 | 2013-12-10 |
| 1275963753 | Freds Stores of Tennessee Inc. | Pharmacy | 418 A West Central Avenue, Jamestown, TN 38556 | 2013-11-19 |
| 1689009490 | Lorry Gray | Speech-Language Pathologist | 1011 Old Lee Hwy 127, Jamestown, TN 38556 | 2013-09-11 |
| 1215362025 | Sarah Clapp | Speech-Language Pathologist | 1011 Old Lee Hwy 127 S., Jamestown, TN 38556 | 2013-09-11 |
| 1699049288 | Linda Conatser | Pharmacist | 418a W Central Avenue, Jamestown, TN 38556 | 2012-02-29 |
| 1215239231 | Connie S. Lee | Nurse Practitioner | 418 B West Central Ave, Jamestown, TN 38556 | 2010-11-23 |
| 1437472248 | Lifecare Family Services | Community/Behavioral Health | 1911 Michigan Avenue, Jamestown, TN 38556 | 2010-03-08 |
| 1740464908 | Timothy Horsky | Surgery | 200 Duncan Street, Jamestown, TN 38556 | 2007-12-24 |
| Find all providers in zip 38556 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265997175 | Micah Sellew | Nurse Practitioner | 321 E Central Ave, Jamestown, TN 38556-4103 | 2019-02-05 |
| 1487148466 | Heather Sue Mendell | Nurse Practitioner | 2111 Buffalo Street Ext, Jamestown, NY 14701-9259 | 2018-06-21 |
| 1831620152 | Elizabeth Gattman | Nurse Practitioner | 36 Vinnie St, Jamestown, NY 14701-7327 | 2017-03-27 |
| 1295072536 | Christopher Davis | Nurse Practitioner | 221 Gaskin Road, Jamestown, KY 42629-0000 | 2013-01-07 |
| 1578812087 | Jamestown Family Care Clinic, LLC | Nurse Practitioner | 1010 Old Highway 127 South, Jamestown, TN 38556-0068 | 2012-08-30 |
| 1215239231 | Connie S. Lee | Nurse Practitioner | 418 B West Central Ave, Jamestown, TN 38556 | 2010-11-23 |
| 1720302185 | Laquita Lynne Sandman | Nurse Practitioner | 100 Duncan Street, Jamestown, TN 38556-0098 | 2010-03-15 |
| 1033350152 | Jocelyn Rebeccah Chermak | Nurse Practitioner | 418b Central Ave W, Jamestown, TN 38556-3031 | 2009-03-19 |
| 1740445519 | Lisa A Walter | Nurse Practitioner | 117 Foote Avenue, Suite 100, Jamestown, NY 14701 | 2008-07-22 |
| 1023107471 | Patricia Richter | Nurse Practitioner | 2430 20th Swst 8, Jamestown, ND 58401-6201 | 2006-10-12 |
| Find all providers in JAMESTOWN | ||||
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| 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.