Active NPI
Cripps, Hooper & Rhody, PLLC
Doing business as Alexandria Family Medical Center
- Family Medicine Physician
- Alexandria, TN
National Provider Identifier
1013012616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CRIPPS, HOOPER & RHODY, PLLC
- Doing business as
- Alexandria Family Medical Center
- Practice address
- 400 E Public Square
Alexandria, TN 37012 - Phone
- (615) 529-2116
- Fax
- (615) 529-2884
- NPI assigned
- Sep 14, 2006
- Last updated
- May 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Michiko Martin
- Title
- Office Manager
- Phone
- (615) 597-4395
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TN | Primary |
Addresses
Primary practice location
400 E Public Square
Alexandria, TN 37012
Mailing address
302 N Congress Blvd
Smithville, TN 37166-2704
Phone (615) 597-4395
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3724068 | Medicaid | TN | |
| 44D0986141 | Other | TN | CLIA NUMBER |
Other names 1
- Alexandria Family Medical Center
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71831
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Care Nurse Practitioner
- Smithville, TN
- NPI 1407511298
-
- Family Medicine Physician
- Smithville, TN
- NPI 1578555611
-
- Family Medicine Physician
- San Fernando, CA
- NPI 1912071556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1013012616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 N CONGRESS BLVD",
"city": "SMITHVILLE",
"state": "TN",
"postal_code": "371662704",
"telephone_number": "615-597-4395",
"fax_number": "615-597-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E PUBLIC SQUARE",
"city": "ALEXANDRIA",
"state": "TN",
"postal_code": "37012",
"telephone_number": "615-529-2116",
"fax_number": "615-529-2884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRIPPS, HOOPER & RHODY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "MICHIKO",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "615-597-4395",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3724068",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA NUMBER",
"identifier": "44D0986141",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Alexandria Family Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alexandria, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.