Organization Active NPI

TLC Medical Clinic Inc

  • Family Nurse Practitioner
  • Tullahoma, TN
National Provider Identifier
1083916563
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8441 Issued in TN
Legal business name
TLC MEDICAL CLINIC INC
Practice address
215 S Anderson St
Tullahoma, TN 37388-3735
Phone
(931) 563-7464
Fax
(931) 563-7401
NPI assigned
Dec 3, 2010
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Mrs. Ladonna Marie Ledford, FNPNPI 1073671756
Title
Nurse Practitioner
Phone
(931) 563-7464

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 8441 TN Primary

Addresses

Primary practice location

215 S Anderson St
Tullahoma, TN 37388-3735

Mailing address

PO Box 1865
Tullahoma, TN 37388-1865
Phone (931) 563-7464

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1083916563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1865",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373881865",
            "telephone_number": "931-563-7464",
            "fax_number": "931-563-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S ANDERSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883735",
            "telephone_number": "931-563-7464",
            "fax_number": "931-563-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "LEDFORD",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "931-563-7464",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "8441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.