CHEATHAM CARES FAMILY HEALTH CARE CENTER, P.C. (NPI# 1376798769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376798769 |
| Entity Type | Organization |
| Organization Name | CHEATHAM CARES FAMILY HEALTH CARE CENTER, P.C. |
| Practice Address |
102 Boyd St Ashland City TN 37015-1601 |
| Practice Telephone | 6157923214 |
| Practice Fax Number | 6157924570 |
| Mailing Telephone | 6157923214 |
| Mailing Fax Number | 6157924570 |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |
| Authorized Official Name | MS. TRICIA FULLER LOWE (CEO) |
| Authorized Official Telephone | 6157923214 |
| Authorized Official Credential | APN-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
39116 | TN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 39116 | TN | Allopathic & Osteopathic Physicians |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
39116 | TN | Allopathic & Osteopathic Physicians |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
APN10637 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN10637 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3326391 | 05 | |
| TN | 3326395 | 05 | |
| TN | 3326396 | 05 | |
| TN | B:UE CROSS, BLUE SHIELD | 4118426 | 01 |
| TN | RAILROAD MEDICARE | P00311280 | 01 |
| Street Address |
102 BOYD ST |
| City | ASHLAND CITY |
| State | TN |
| Zip Code | 37015-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417152604 | Bill L Duke II Md PC | Obstetrics & Gynecology | 102 Boyd St, Ashland City, TN 37015-1601 | 2007-06-18 |
| 1083807358 | Medical Necessities, Inc. | Physical Medicine & Rehabilitation | 102 Boyd St, Ashland City, TN 37015-1601 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044198 | Mary B Beasley | Psychologist | 1080 Little Marrowbone Rd, Ashland City, TN 37015 | 2019-10-09 |
| 1043709934 | Randi Danielle Hull | Licensed Practical Nurse | 162 John Mayfield Dr, Ste 200, Ashland City, TN 37015 | 2018-05-07 |
| 1760922850 | Krystle Deal | Nurse Practitioner | 150 Hutton Place, Ashland City, TN 37015 | 2017-03-08 |
| 1578926879 | Rehabcare Group East, LLC | Clinic/Center | 2035 Vantage Pointe, Ashland City, TN 37015 | 2016-04-04 |
| 1700127396 | Phonethip Thepsiri | Counselor | 162 County Services Drive, Suite, Ashland City, TN 37015 | 2013-03-07 |
| 1376774497 | Frances Marie Ball | Physical Therapy Assistant | 111 Pemberton Drive, Hillcrest Healthcare Center, Ashland City, TN 37015 | 2009-08-06 |
| 1629291356 | Stephen M Kaufman | Dentist | 202 C Main Street, Ashland City, TN 37015 | 2007-04-11 |
| 1528124484 | County of Cheatham | Ambulance | 3455 Bell Street, Ashland City, TN 37015 | 2006-12-28 |
| 1730264300 | Wal-mart Stores East, Lp | Technician/Technologist | 1626 St. Route 12 So., Ashland City, TN 37015 | 2006-10-25 |
| 1700997483 | Charles Mark Hendricks | Chiropractor | 112 North Main, Ashland City, TN 37015 | 2006-08-31 |
| Find all providers in zip 37015 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760922850 | Krystle Deal | Nurse Practitioner | 150 Hutton Place, Ashland City, TN 37015 | 2017-03-08 |
| 1184894966 | Terry Lee Roberts | Nurse Practitioner | 500 Tennessee Waltz Pkwy, Ashland City, TN 37015-1234 | 2008-03-07 |
| 1962686592 | Jennifer Williams | Nurse Practitioner | 313 N Main St Fl 2, Ashland City, TN 37015-1347 | 2007-12-18 |
| 1679087720 | Ashley Tinch | Nurse Practitioner | 342 Frey St, Ashland City, TN 37015 | 2017-11-28 |
| 1356894968 | Suzanne Lee | Nurse Practitioner | 162 County Services Dr, 200, Ashland City, TN 37015-1748 | 2016-07-31 |
| 1518363340 | Joni Lynn Vastola | Nurse Practitioner | 342 Frey St, Ashland City, TN 37015-1734 | 2014-11-05 |
| 1598101222 | Natalie Gossum Lyndon | Nurse Practitioner | 189 Monroe Pl, Ashland City, TN 37015-4939 | 2013-05-21 |
| 1356784748 | Melissa Lacy | Nurse Practitioner | 189 Monroe Pl Ste 104, Ashland City, TN 37015-4940 | 2013-04-16 |
| 1417102534 | Liquid Rei, LLC | Nurse Practitioner | 108 N Main St, Ashland City, TN 37015-1708 | 2008-11-18 |
| 1801017116 | Brandy Enoch Stewart | Nurse Practitioner | 313 N Main St, Ashland City, TN 37015-1319 | 2007-05-02 |
| Find all providers in ASHLAND CITY | ||||
| City | ASHLAND CITY |
| Zip Code | 37015 |
Please comment or provide details below to improve the information on CHEATHAM CARES FAMILY HEALTH CARE CENTER, P.C..
| 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.