Tennessee Maternal Fetal Medicine PLC

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

Legal business name

TENNESSEE MATERNAL FETAL MEDICINE PLC

Practice address

404 N Castle Heights Ave
Suite E
Lebanon, TN 37087-1511

Phone

(615) 983-5404

Fax

(615) 284-8637

NPI assigned

Aug 21, 2012

Last updated

Aug 21, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lola Clark

Title

Administrator

Phone

(615) 983-5404

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Audrey H Kang, M.D.

  • Maternal & Fetal Medicine Physician
  • Nashville, TN
  • NPI 1578575486
  NPD
• Tracie Thibault, APRN

  • Women's Health Nurse Practitioner
  • Nashville, TN
  • NPI 1144317264
  NPD
• Courtney Brewington, FNP-C

  • Family Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1669148680
  NPD (past)
• Carol Denise Collins, NP

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1184494932
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1033467188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N",
            "address_2": "SUITE 702",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032131",
            "telephone_number": "615-284-8636",
            "fax_number": "615-284-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N CASTLE HEIGHTS AVE",
            "address_2": "SUITE E",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871511",
            "telephone_number": "615-983-5404",
            "fax_number": "615-284-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE MATERNAL FETAL MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-983-5404"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maternal & Fetal Medicine Physician in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Maternal & Fetal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.