Organization Active NPI

Hardy House Your Family Healthcare Provider, PLLC

  • Family Medicine Physician
  • Bartlett, TN
National Provider Identifier
1053961318
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HARDY HOUSE YOUR FAMILY HEALTHCARE PROVIDER, PLLC
Practice address
2747 Bartlett Blvd
Bartlett, TN 38134-4580
Phone
(901) 748-5308
Fax
(901) 529-7716
NPI assigned
Sep 18, 2019
Last updated
Sep 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Latonya S Hardy, DNPNPI 1376963041
Title
Doctor of Nursing Practice/Owner
Phone
(901) 748-5308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

2747 Bartlett Blvd
Bartlett, TN 38134-4580

Mailing address

4165 Pine Hill CV N
Lakeland, TN 38002-8111
Phone (901) 229-1787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191022000627 TN Part B Supplier - Clinic/Group Practice 8527390780 Receives reassigned benefits from 2 practitioners
Practice locations: Barlett, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2163952Hardy House, Your Family Healthcare Provide, PLLC2747 Bartlett Blvd, Bartlett, TN 38134Certificate of waiverMar 24, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25047/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1053961318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 PINE HILL CV N",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380028111",
            "telephone_number": "901-229-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 BARTLETT BLVD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344580",
            "telephone_number": "901-748-5308",
            "fax_number": "901-529-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDY HOUSE YOUR FAMILY HEALTHCARE PROVIDER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR OF NURSING PRACTICE/OWNER",
        "authorized_official_telephone_number": "901-748-5308",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.