PYGMY BLUE WELLNESS CENTER (NPI# 1821517285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821517285 |
Entity Type | Organization |
Organization Name | PYGMY BLUE WELLNESS CENTER |
Practice Address |
901 12th Ave S Nashville TN 37203-4705 |
Mailing Address |
142 Seven Springs Dr Mt Juliet TN 37122-3859 |
Practice Telephone | 1615521019 |
Practice Fax Number | 6155210191 |
Mailing Telephone | 6155210191 |
Enumeration Date | 2017-09-15 |
Last Update Date | 2017-09-15 |
Authorized Official Name | MS. KAREN L GOLDEN (OWNER) |
Authorized Official Telephone | 6155210191 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
901 12TH AVE S |
City | NASHVILLE |
State | TN |
Zip Code | 37203-4705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942571005 | Innovative Healthcare Solutions LLC | Family Medicine | 901 12th Ave S, Nashville, TN 37203-4705 | 2012-01-21 |
1013179415 | Tarria O. Mcneal | General Practice | 901 12th Ave S, Suite 5, Nashville, TN 37203-4705 | 2008-06-26 |
1164557856 | Southstreet Family Medical Center | Preferred Provider Organization | 901 12th Ave S, Nashville, TN 37203-4705 | 2007-02-22 |
1861444747 | Karla Patrice Montague-brown | Family Medicine | 901 12th Ave S, Nashville, TN 37203-4705 | 2006-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
Find all providers in zip 37203 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1598270746 | Wellness for Life | Clinic/Center | 1749 State Road 46, Nashville, IN 47448 | 2017-12-11 |
1063946796 | Hope Health and Healing Clinic | Clinic/Center | 1375 Old Hickory Blvd, Nashville, TN 37207-1423 | 2017-04-19 |
1881132728 | Nashville General Hospital | Clinic/Center | 515 Madison St, Apt.424, Nashville, TN 37208-1621 | 2017-02-10 |
1386197408 | Ourhealth LLC | Clinic/Center | 1415 Murfreesboro Pike, Suite 228, Nashville, TN 37217-2829 | 2016-07-25 |
1245600618 | Pruitt's Discount Pharmacy, LLC | Clinic/Center | 811 Dickerson Pike, C, Nashville, TN 37207-5632 | 2015-09-29 |
1437546694 | Missionpoint Services, LLC | Clinic/Center | 505 Mainstream Dr, Nashville, TN 37228-1208 | 2015-04-24 |
1376945352 | Nashville Integrated Medicine | Clinic/Center | 2933 Berry Hill Dr, Ste A, Nashville, TN 37204-3126 | 2014-09-21 |
1093131559 | Sameerah Ali Mobile Med Pllc | Clinic/Center | 1602 8th Ave S, Nashville, TN 37203-5009 | 2014-03-07 |
1245671114 | Genesis Weight and Age Management | Clinic/Center | 2207 Crestmoor Rd, Ste 204, Nashville, TN 37215-2037 | 2013-07-08 |
1447530480 | Provide Locums Healthcare Providers LLC | Clinic/Center | 41 Peabody St, Nashville, TN 37210-2125 | 2011-08-23 |
Find all providers in NASHVILLE |
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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.