Organization Active NPI

Hensley Family Care Clinic PC

  • Family Nurse Practitioner
  • Carthage, TN
National Provider Identifier
1073567046
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000005730 Issued in TN
Legal business name
HENSLEY FAMILY CARE CLINIC PC
Practice address
Ste700
133 Hospital Drive
Carthage, TN 37030-4010
Phone
(615) 735-1650
Fax
(615) 735-1658
NPI assigned
May 22, 2006
Last updated
Oct 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Anne C HensleyNPI 1730134990
Title
President
Phone
(615) 735-1650

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000005730 TN Primary

Addresses

Primary practice location

Ste700
133 Hospital Drive
Carthage, TN 37030-4010

Mailing address

Suite 700
133 Hospital Drive
Carthage, TN 37030-4010
Phone (615) 735-1650

Other identifiers 1

IdentifierTypeStateIssuer
3903357MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040813000975 TN Practitioner - Nurse Practitioner 2365415833 Reassigns benefits to 2 organizations
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

648 Hartsville Pike
Gallatin, TN 37066
Phone (615) 451-9246

Practitioners & affiliated clinicians

Practitioners 1

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1073567046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 700",
            "address_2": "133 HOSPITAL DRIVE",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370304010",
            "telephone_number": "615-735-1650",
            "fax_number": "615-735-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STE700",
            "address_2": "133 HOSPITAL DRIVE",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370304010",
            "telephone_number": "615-735-1650",
            "fax_number": "615-735-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENSLEY FAMILY CARE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-735-1650"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000005730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3903357",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.