MONTCLAIR HEALTH AND WELLNESS LLC (NPI# 1013216498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013216498 |
| Entity Type | Organization |
| Organization Name | MONTCLAIR HEALTH AND WELLNESS LLC |
| Other Organization Name | SPECIALTY ASSOCIATES |
| Practice Address |
710 Cornersville Rd Lewisburg TN 37091 |
| Practice Telephone | 9319945717 |
| Practice Fax Number | 9312464233 |
| Mailing Telephone | 9314222192 |
| Mailing Fax Number | 9312464233 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | MRS. PAMELA D WHITE (OFFICE MANAGER) |
| Authorized Official Telephone | 9312121117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000012854 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000006822 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q005482 | 05 |
| Other Name | Type Code |
|---|---|
| Specialty Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821481979 | Montclair Health and Wellness LLC | Clinic/Center | 710 Cornersville Rd, Lewisburg, TN 37091-4115 | 2015-03-13 |
| Street Address |
710 CORNERSVILLE RD |
| City | LEWISBURG |
| State | TN |
| Zip Code | 37091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760448500 | Edward D White Jr. | Nurse Practitioner | 710 Cornersville Rd, Lewisburg, TN 37091 | 2006-04-21 |
| 1821481979 | Montclair Health and Wellness LLC | Clinic/Center | 710 Cornersville Rd, Lewisburg, TN 37091-4115 | 2015-03-13 |
| 1164619177 | Pamela D White | Nurse Practitioner | 710 Cornersville Rd, Lewisburg, TN 37091 | 2007-10-03 |
| 1417900820 | Dennis Mccracken | Emergency Medicine | 710 Cornersville Rd, Lewisburg, TN 37091 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168817 | South Medical Clinic LLC | Family Medicine | 118 2nd Ave South, Lewisburg, TN 37091 | 2020-03-04 |
| 1063968345 | Joe Swinney IIi | Case Management | 3756 Tom Littlejohn Rd, Lewisburg, TN 37091 | 2016-08-28 |
| 1396142485 | The Estate of P. Laray Rector | Dentist | 553 W Commerce St, Lewisburg, TN 37091 | 2014-12-04 |
| 1093958092 | Tamara Carolynn Holley | Case Manager/Care Coordinator | 1603 Nashville Highway, Lewisburg, TN 37091 | 2009-04-07 |
| 1285897793 | Jennifer Val Neel | Nurse Practitioner | 329 West Commerce Street, Lewisburg, TN 37091 | 2008-07-03 |
| 1316138639 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1030 War Eagle Drive, Lewisburg, TN 37091 | 2007-08-05 |
| 1568561850 | John Woodson Carter | Dentist | 1085 N Ellington Pkwy, Lewisburg, TN 37091 | 2006-09-22 |
| 1508882671 | Kenneth J Phelps Jr. | Family Medicine | 304 W Church St, Lewisburg, TN 37091 | 2006-07-14 |
| 1548243348 | Air Evac Ems Inc | Ambulance | 1879 Franklin Pike, Lewisburg, TN 37091 | 2005-11-25 |
| 1386035210 | Holly Nachole Garland | Nurse Practitioner | 304 W Church St, Lewisburg, TN 37091 | 2015-02-13 |
| Find all providers in zip 37091 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517259 | Jeniffer Rachelle Wickline | Nurse Practitioner | 1265 Maplewood Ave, Lewisburg, WV 24901-9478 | 2020-10-27 |
| 1154985018 | Nicole Megan Grinnell | Nurse Practitioner | 1261 Old Highway 99, Lewisburg, TN 37091-6638 | 2019-04-26 |
| 1982165353 | Breanna Wood | Nurse Practitioner | 641 E Commerce St, Lewisburg, TN 37091-2816 | 2019-03-28 |
| 1609256676 | Hannah Broadwater | Nurse Practitioner | 296 Fair St, Lewisburg, WV 24901-2632 | 2015-06-04 |
| 1386986255 | Meagan Brittany Farley | Nurse Practitioner | 1701 Childress Rd, Lewisburg, TN 37091-7152 | 2013-03-19 |
| 1740531938 | Christy Stapleton | Nurse Practitioner | 201 Garrett Pkwy, Lewisburg, TN 37091-3552 | 2012-09-27 |
| 1780961987 | Shelly Marie Hargrove | Nurse Practitioner | 1090 N Ellington Pkwy Ste 102, Lewisburg, TN 37091-2227 | 2011-11-16 |
| 1386892487 | Tambra Michelle Pitt | Nurse Practitioner | 3738 Davis Stuart Rd., Lewisburg, WV 24901-9463 | 2008-09-03 |
| 1962608992 | Melissa A. Neal | Nurse Practitioner | 551 Springplace Rd, Lewisburg, TN 37091-3447 | 2007-06-26 |
| 1407925399 | Julia S Bryan | Nurse Practitioner | 335 1st Ave N, Lewisburg, TN 37091-2826 | 2006-11-07 |
| Find all providers in LEWISBURG | ||||
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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.