NORTH CHILDREN'S CLINIC, INC. (NPI# 1982784575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982784575 |
| Entity Type | Organization |
| Organization Name | NORTH CHILDREN'S CLINIC, INC. |
| Other Organization Name | NORTH CHILDREN'S CLINIC AND FAMILY CARE, PLLC |
| Practice Address |
130 Imperial Blvd Hendersonville TN 37075-3440 |
| Practice Telephone | 6158268087 |
| Practice Fax Number | 6158268069 |
| Mailing Telephone | 6158268087 |
| Mailing Fax Number | 6158268069 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | TABITHA FINNEY (OFFICE MANAGER) |
| Authorized Official Telephone | 6155164016 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| North Children's Clinic and Family Care, PLLC | Doing Business As Name - Organization |
| Street Address |
130 IMPERIAL BLVD |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-3440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871604991 | Leeanna Faith Copeland | Nurse Practitioner | 130 Imperial Blvd, Hendersonville, TN 37075-3440 | 2006-08-31 |
| 1518209634 | Realistic Interventions | Counselor | 130 Imperial Blvd, Hendersonville, TN 37075 | 2013-03-27 |
| 1457602070 | Papillion Center for Fetal Alcohol Spectrum Disorders | Community/Behavioral Health | 130 Imperial Blvd, Hendersonville, TN 37075-3440 | 2012-09-21 |
| 1437422219 | Natural Healing and Rejuvenation Treatments | Family Medicine | 130 Imperial Blvd, Hendersonville, TN 37075-3440 | 2012-02-09 |
| 1386968444 | North Children's Clinic and Family Care, Pllc | Physician Assistant | 130 Imperial Blvd, Hendersonville, TN 37075-3440 | 2010-03-18 |
| 1568790913 | Samantha Christina Scott Troutt | Marriage & Family Therapist | 130 Imperial Blvd, Imperial Square Business Center, Hendersonville, TN 37075-3440 | 2009-11-23 |
| 1982836672 | Tina M Darks | Nurse Practitioner | 130 Imperial Blvd, Hendersonville, TN 37075-3440 | 2009-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609358019 | Sarah Lowry | Nurse Practitioner | 167 Benjamin Ln, Hendersonville, TN 37075-2984 | 2018-08-31 |
| 1538314786 | Lindsey B Case | Nurse Practitioner | 410 N Parrish Pl Ste 2000, Hendersonville, TN 37075-1004 | 2008-12-01 |
| 1871604991 | Leeanna Faith Copeland | Nurse Practitioner | 130 Imperial Blvd, Hendersonville, TN 37075-3440 | 2006-08-31 |
| 1255320875 | Nancy Ann Witcher | Nurse Practitioner | 110 Chadwick Square Ct Ste A, Hendersonville, NC 28739-3238 | 2005-10-17 |
| 1598152274 | Laura Michelle Bowling | Nurse Practitioner | 262 New Shackle Island Rd Ste 203, Hendersonville, TN 37075-2489 | 2015-04-21 |
| 1194990440 | Tena Simmons | Nurse Practitioner | 262 New Shackle Island Rd, Suite 203, Hendersonville, TN 37075-2489 | 2008-04-28 |
| 1902904790 | Rhonda Patrice Hertwig | Nurse Practitioner | 110 Chadwick Square Ct Ste A, Hendersonville, NC 28739-3238 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416330 | Laura Jean Schmid | Nurse Practitioner | 2200 Childrens Way Ste 3103, Nashville, TN 37232-0034 | 2020-10-27 |
| 1801495338 | Heidi Bevans | Nurse Practitioner | 1440 Cedar Ln, Tullahoma, TN 37388-2485 | 2020-10-26 |
| 1629683453 | Monique Kyles | Nurse Practitioner | 148 Marrakesh Cir, Memphis, TN 38103-5830 | 2020-09-09 |
| 1164034013 | Donte Leonard | Nurse Practitioner | 952 Dolly Parton Pkwy, Sevierville, TN 37862-3707 | 2020-08-21 |
| 1114545050 | Regina Jill Brown | Nurse Practitioner | 1441 Guthrie Dr Nw, Cleveland, TN 37311-3642 | 2020-07-07 |
| 1295350361 | Amber Rose King | Nurse Practitioner | 439 N Graham St, Memphis, TN 38122-3831 | 2020-06-14 |
| 1346869302 | Ashley O'brien | Nurse Practitioner | 1044 Oak Drive, White Bluff, TN 37187-3718 | 2020-04-10 |
| 1487298634 | Madison Hatfield | Nurse Practitioner | 2200 Childrens Way Fl 8, Nashville, TN 37232-0005 | 2019-10-31 |
| 1184267270 | Mary Elizabeth Coletti | Nurse Practitioner | 1029 W Main St # 3301, Lebanon, TN 37087-3351 | 2019-10-22 |
| 1508408956 | Stephanie Nidiffer | Nurse Practitioner | 3328 Jenkins Rd Ste 200, Chattanooga, TN 37421-1298 | 2019-10-16 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
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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.