Pinewood Medical LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19587 Issued in TN

Legal business name

PINEWOOD MEDICAL LLC

Practice address

3499 Highway 70 W
Dickson, TN 37055-4234

Phone

(615) 512-4099

NPI assigned

Oct 5, 2015

Last updated

Oct 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Orsbon, NP-CNPI 1760894901

Title

Owner

Phone

(615) 512-4099

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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.

• Susan Orsbon, FNP-C

  • Registered Nurse
  • Dickson, TN
  • NPI 1760894901

  Family

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1073983920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10256 MCGEE RD",
            "city": "LYLES",
            "state": "TN",
            "postal_code": "370981738",
            "telephone_number": "615-512-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 HIGHWAY 70 W",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370554234",
            "telephone_number": "615-512-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEWOOD MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "ORSBON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-512-4099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E Phillips, APN
• Physiotherapy Associates Inc (Physiotherapy Associates)
• Cameron Steven Piechota, DPT
• David H Pierce, DPH
• Katharine Emma Pierce, MS-CCC-SLP
• Lisa Rose Plunkett
• Ana Carolina Pontes, MD
• Kimberly Jo Potter
• Kristie Potter, FNP-BC
• Maureen Reeves Potter

• Family Nurse Practitioner in Dickson, TN
• Providers in Dickson, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.