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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
15595 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
322 S MCCRARY ST |
City | WOODBURY |
State | TN |
Zip Code | 37190-1441 |
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 |
Find all providers in zip 37190 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in WOODBURY |
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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.