The Clinic, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN 5212 Issued in TN

Legal business name

THE CLINIC, PLLC

Practice address

520 E Parkview St
Dyersburg, TN 38024-3114

Phone

(731) 286-0490

Fax

(731) 286-0469

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Syble S Carter, FNPNPI 1891797924

Title

Owner

Phone

(731) 286-0490

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Syble S Carter, FNP

  • Family Nurse Practitioner
  • Dyersburg, TN
  • NPI 1891797924
  Authorized official Same address or phone

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1093845695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E PARKVIEW ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243114",
            "telephone_number": "731-286-0490",
            "fax_number": "731-286-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E PARKVIEW ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243114",
            "telephone_number": "731-286-0490",
            "fax_number": "731-286-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "SYBLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-286-0490",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN 5212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3499880",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG3551",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tennessee CVS Pharmacy LLC (CVS Pharmacy# 10645)
• Tennessee Em-I Medical Services, P.C.
• Tennessee Em-I Medical Services, PC
• James Dalton Tetleton, FNP-BC
• The Bay at Dyersburg Health and Rehabilitation Center LLC (Dyersburg Health and Rehabilitation Center)
• The West Clinic P.C.
• Atonya Thomas, RN
• Laura Thomas, PT
• Thomas Reece Thompson, MD
• Phillip D Tidwell

• Nurse Practitioner in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.