CHRISTIAN FAMILY MEDICINE (NPI# 1720338833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720338833 |
Entity Type | Organization |
Organization Name | CHRISTIAN FAMILY MEDICINE |
Other Organization Name | CHRISTIAN FAMILY MEDCINE OF WEAKLEY COUNTY |
Practice Address |
79 Highway 51 S Ripley TN 38063-4580 |
Mailing Address |
105 Highway 431 Martin TN 38237-8264 |
Practice Telephone | 7316358189 |
Practice Fax Number | 7316358182 |
Mailing Telephone | 7316358189 |
Mailing Fax Number | 7316358121 |
Enumeration Date | 2012-09-17 |
Last Update Date | 2012-09-17 |
Authorized Official Name | HOWARD S FREEMAN (COO) |
Authorized Official Telephone | 7316358189 |
Is Organization Subpart | Y |
Parent Organization Name | CHRISTIAN FAMILY MEDICINE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Christian Family Medcine of Weakley County | Doing Business As Name - Organization |
Street Address |
79 HIGHWAY 51 S |
City | RIPLEY |
State | TN |
Zip Code | 38063-4580 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689615320 | Damien Eric Nethery | Social Worker | 79 Highway 51 S, Ripley, TN 38063-4580 | 2006-06-10 |
1245854991 | Alison Knack PC Inc | Clinic/Center | 79 Highway 51 S, Ripley, TN 38063-4580 | 2020-05-28 |
1720548282 | Lauren Elizabeth Butler | Registered Nurse | 79 Highway 51 S, Ripley, TN 38063-4580 | 2019-03-21 |
1962977389 | Katherine Louise Troutman | Nurse Practitioner | 79 Highway 51 S, Ripley, TN 38063-4580 | 2018-10-11 |
1518324912 | Kristen Beth Beasley | Nurse Practitioner | 79 Highway 51 S, Ripley, TN 38063-4580 | 2016-01-15 |
1558616557 | Virginia C Smith | Nurse Practitioner | 79 Highway 51 S, Ripley, TN 38063-4580 | 2012-07-17 |
1205857273 | Christian Family Pharmacy LLC | Pharmacy | 79 Highway 51 S, Suite 2, Ripley, TN 38063-4580 | 2006-07-22 |
1134164098 | Sara Jane Via | Nurse Practitioner | 79 Highway 51 S, Ripley, TN 38063-4580 | 2006-06-17 |
1043252620 | Christian Family Medicine, Inc. | Family Medicine | 79 Highway 51 S, Ripley, TN 38063-4580 | 2006-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609327246 | Ld&h Specialized Care Services | Preferred Provider Organization | 2260 Us-51, Helen R Tucker Adult Dev Center, Ripley, TN 38063 | 2016-10-19 |
1477984508 | Mid-south Convenient Care, Pllc | Family Medicine | 521 Hwy 51 North, Ripley, TN 38063 | 2013-11-27 |
1285879577 | The Wellness Center of West Tn Inc | Technician | 171 Tucker Street, Ripley, TN 38063 | 2008-12-16 |
1023281185 | Aniko Vedette Campbell | Nurse Practitioner | 79 Highway 51 South, Christian Family Medicine, Ripley, TN 38063 | 2008-04-10 |
1275750556 | Annabelle Chua | Physical Therapist | 326 Asbury Rd, Ripley, TN 38063 | 2007-04-19 |
1073659058 | Thomas Ross Patterson | Dentist | 500 Hwy 51 South, Ripley, TN 38063 | 2007-01-29 |
1144370305 | State of Tennessee | Public Health or Welfare | 500 Highway 51 South, Ripley, TN 38063 | 2007-01-11 |
1669479036 | Syed A Zaidi | Specialist | 868 Highway 51 South, Suite 101, Ripley, TN 38063 | 2005-06-30 |
1558609628 | Citizens of Lake County for Health Care, Inc | Clinic/Center | 317 Cleveland St, Ripley, TN 38063 | 2013-01-24 |
1083962633 | James Matthew Harper | Optometrist | 479 S Washington St, Ripley, TN 38063 | 2012-08-29 |
Find all providers in zip 38063 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548755689 | Lindsay Toler | Nurse Practitioner | 945 Charleston Rd, Ripley, WV 25271-1577 | 2018-06-29 |
1356852081 | Victoria Boldman | Nurse Practitioner | 312 Edgewood Cir, Ripley, WV 25271-1622 | 2017-10-20 |
1659775732 | Jennifer Richardson | Nurse Practitioner | 1005a City Ave N, Ripley, MS 38663-1414 | 2014-10-17 |
1598048894 | Stacie Dianne Holloway | Nurse Practitioner | 1331 City Ave N, Ripley, MS 38663-1102 | 2011-09-22 |
1548578859 | Erica Elaine Conant | Nurse Practitioner | 562 Charleston Dr, Ripley, WV 25271-1533 | 2010-09-21 |
1497999155 | Suzette Carroll Stanley | Nurse Practitioner | 317 Cleveland St, Ripley, TN 38063-1205 | 2009-04-26 |
1659445492 | Brenda Shelton | Nurse Practitioner | 749s Line St, Ripley, MS 38663-2811 | 2006-11-20 |
1871055632 | Brittany Ann Proudfit | Nurse Practitioner | 500 Highway 51 S, Ripley, TN 38063-4583 | 2019-04-02 |
1225511272 | Nina Michelle Cavitt | Nurse Practitioner | 313 Cleveland St, Ripley, TN 38063-1205 | 2018-09-14 |
1326526807 | Jami Kay Clay | Nurse Practitioner | 111 Court St S, Ripley, WV 25271-1408 | 2018-08-06 |
Find all providers in RIPLEY |
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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.