Organization Active NPI

Getwell Community Clinic, LLC

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1043369143
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000006732 Issued in TN
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

Updated by the provider on Aug 23, 2007

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 26642 TN
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3736618OtherTNFEDERAL MEDICARE NUMBER

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.