NPIMap

Organization Active NPI

Huntland Clinic, PLLC

  • Family Nurse Practitioner
  • Huntland, TN
National Provider Identifier
1073830147
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7935 Issued in TN
Legal business name
HUNTLAND CLINIC, PLLC
Practice address
707 Main St
Huntland, TN 37345-3263
Phone
(931) 469-0303
Fax
(931) 469-0802
NPI assigned
Apr 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Kelly B Golden, NPNPI 1902939655
Title
Nurse Practitioner
Phone
(931) 469-0303

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 7935 TN Primary

Addresses

Primary practice location

707 Main St
Huntland, TN 37345-3263

Mailing address

P O Box 141
Huntland, TN 37345
Phone (931) 469-0303

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1073830147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 141",
            "city": "HUNTLAND",
            "state": "TN",
            "postal_code": "37345",
            "telephone_number": "931-469-0303",
            "fax_number": "931-469-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 MAIN ST",
            "city": "HUNTLAND",
            "state": "TN",
            "postal_code": "373453263",
            "telephone_number": "931-469-0303",
            "fax_number": "931-469-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTLAND CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "931-469-0303",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.