Rural Health Clinics of West TN, PLLC

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

RURAL HEALTH CLINICS OF WEST TN, PLLC

Practice address

1716 Parr Ave
Suite a
Dyersburg, TN 38024-2073

Phone

(731) 285-3300

Fax

(731) 285-3370

NPI assigned

Sep 28, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Pat F Owen

Title

Practice Manager

Phone

(731) 286-0149

Specialties & licenses 1

Addresses

Other identifiers 2

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6758/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1063609592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380251209",
            "telephone_number": "731-286-0149",
            "fax_number": "731-286-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 PARR AVE",
            "address_2": "SUITE A",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242073",
            "telephone_number": "731-285-3300",
            "fax_number": "731-285-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH CLINICS OF WEST TN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "731-286-0149",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3730285",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3730286",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Nicole Robertson
• Katelyn Meredith Robertson, RN, APRN, NP-C
• Brian Keith Robinson, O.D.
• Kyle Pendleton Rose, NP
• Rural Health Clinic of West TN PLLC
• Rural Health Clinics of West TN, PLLC
• Randy Rushing, MSN, NP-C
• Martina Saied, PHARMD
• Hari Krishna Salana, MD
• Corinthia Brooke Sanders, PHARMD

• Legal Medicine in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Legal Medicine in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.