HWV Primary Care Clinic, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HWV PRIMARY CARE CLINIC, PLLC

Practice address

3139 Lebanon Pike
Nashville, TN 37214-2314

Phone

(615) 357-0139

Fax

(615) 357-0257

NPI assigned

Jan 30, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Deressa Lee Marshall, FNP-C

Title

Owner/Aprn

Phone

(731) 326-2503

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• HWV Family Practice , PLLC Doing business as
• Health and Wellness at the Village, PLLC Former legal business name

Locations

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1073050951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371160871",
            "telephone_number": "615-357-0139",
            "fax_number": "615-357-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 LEBANON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372142314",
            "telephone_number": "615-357-0139",
            "fax_number": "615-357-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HWV PRIMARY CARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DERESSA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "731-326-2503",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q041062",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q041043",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HWV Family Practice , PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health and Wellness at the Village, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Trang Huynh, MD
• HW Neurological Institute, LLC
• Barrington James Hwang, MD
• Carey Hwang, MD
• Samuel Hwang
• C Wade Hyatt III
• Hyde Park Medical Group, PLLC
• Anna Bliss Hyde
• Tristaca Hyde, SLP
• Taylor Hye, SLP

• Primary Care Clinic/Center in Nashville, TN
• Providers in Nashville, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.