Active NPI
Getwell Community Clinic, LLC
- Family Nurse Practitioner
- Memphis, TN
National Provider Identifier
1043369143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000006732
- Legal business name
- GETWELL COMMUNITY CLINIC, LLC
- Practice address
- 3055 Watson St
Memphis, TN 38118-3011 - Phone
- (901) 369-4900
- NPI assigned
- Jan 9, 2007
- 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
- Leo F. Rourke Jr., A.R.N.P.
- Title
- Nurse Practitioner
- Phone
- (901) 369-4900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 26642 | TN | |
| Family Nurse Practitioner | 363LF0000X | APN0000006732 | TN | Primary |
Addresses
Primary practice location
3055 Watson St
Memphis, TN 38118-3011
Mailing address
3055 Watson St
Memphis, TN 38118-3011
Phone (901) 369-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3736618 | Other | TN | FEDERAL MEDICARE NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187827200000",
"number": "1043369143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3055 WATSON ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381183011",
"telephone_number": "901-369-4900",
"fax_number": "901-365-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3055 WATSON ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381183011",
"telephone_number": "901-369-4900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GETWELL COMMUNITY CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2007-08-23",
"status": "A",
"authorized_official_last_name": "ROURKE",
"authorized_official_first_name": "LEO",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "901-369-4900",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "A.R.N.P."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TN",
"license": "26642",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000006732",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL MEDICARE NUMBER",
"identifier": "3736618",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.