COMMUNITY WELLNESS CLINIC INC.


Address: 322 S Mccrary St, Woodbury, TN 37190-1441
Phone: 6155637515

COMMUNITY WELLNESS CLINIC INC. (NPI# 1770844110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770844110
Entity Type Organization
Organization Name COMMUNITY WELLNESS CLINIC INC.
Practice Address 322 S Mccrary St
Woodbury
TN 37190-1441
Practice Telephone 6155637515
Practice Fax Number 6155637393
Mailing Telephone 6155637515
Mailing Fax Number 6155637393
Enumeration Date 2012-06-01
Last Update Date 2012-06-01
Authorized Official Name MRS. TABITHA SMITH (PRESIDENT/PROVIDER)
Authorized Official Telephone 6155637515
Authorized Official Credential FNP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
15595 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 322 S MCCRARY ST
City WOODBURY
State TN
Zip Code 37190-1441

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NPI Name Taxonomy Address Enumeration
1376143891 Results-ast Jv, LLC Physical Therapist 324 Doolittle Road, Woodbury, TN 37190 2020-10-26
1255407219 Catherine Lorraine Levi Physical Therapy Assistant 119 West High Street, Woodbury, TN 37190 2006-11-28
1669807830 Heather J Melton Nurse Practitioner 89 Mears Drive, Woodbury, TN 37190 2013-09-06
1639245681 James L Mayes Physical Therapist 324 Doolittle Rd, Woodbury, TN 37190 2006-11-28
1811063878 Melisa Johnson Curtis Physical Therapy Assistant 324 Doolittle Rd, Stones River Hospital Inpatient Rehab, Woodbury, TN 37190 2006-11-28
1437677796 Woodbury Drug Center LLC Pharmacy 604 W Main St, Woodbury, TN 37190-1029 2017-09-06
1437148905 Darryl T Deason Dentist 801b W Main St, Woodbury, TN 37190-1032 2005-10-18
1629067855 Andrew P Bucher Dentist 801b W Main St, Woodbury, TN 37190-1032 2005-10-20
1003360793 Woodbury Dental Partners Dentist 801 W Main St, Suite B, Woodbury, TN 37190-1047 2016-08-10
1407000417 Darryl T Deason Dentist 801 W Main St, Suite B, Woodbury, TN 37190-1047 2008-11-05
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851913255 Shrena H Travis Nurse Practitioner 126 Lester St, Woodbury, TN 37190-1416 2020-05-08
1407401466 Linda Lor Nurse Practitioner 1795 Radio Dr Ste D, Woodbury, MN 55125-9457 2019-08-07
1518429273 Jennifer L Ergang Nurse Practitioner 3405 Hartford Rd, Woodbury, MN 55125-3734 2019-04-02
1629536651 Shamim A Lalani Nurse Practitioner 9 Sparrow Ln, Woodbury, NY 11797-3206 2019-03-08
1336595800 Brian Joseph Portanova Nurse Practitioner 45 Euclid St Ste 200, Woodbury, NJ 08096-4631 2016-05-13
1184070591 Grace Oghenekaro Oyefesobi Nurse Practitioner 8468 Tamarack Village, Cvs Minute Clinic, Woodbury, MN 55125 2016-05-04
1003112277 Tabitha M Smith Nurse Practitioner 89 Mears Drive, Woodbury, TN 37190-1441 2011-02-04
1023240041 Heidi Lee Brown Nurse Practitioner 7650 Currell Blvd Ste 330, Woodbury, MN 55125-8209 2009-08-11
1144273061 Paula Todd Nurse Practitioner 530 W Adams St, Woodbury, TN 37190-1622 2006-05-19
1790746808 Karen Ann Zimmerman Nurse Practitioner 1825 Woodwinds Drive, Woodbury, MN 55125-2298 2006-03-29
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Competitor

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City WOODBURY
Zip Code 37190

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Dataset Information

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.

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