Northwest Tennessee Development District

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

NORTHWEST TENNESSEE DEVELOPMENT DISTRICT

Practice address

124 Weldon Dr
Martin, TN 38237-1308

Phone

(731) 587-4213

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John A Bucy

Title

Executive Director

Phone

(731) 587-4213

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1114117751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WELDON DR",
            "address_2": "P. O. BOX 963",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382371308",
            "telephone_number": "731-587-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WELDON DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382371308",
            "telephone_number": "731-587-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST TENNESSEE DEVELOPMENT DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "BUCY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "731-587-4213",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445784",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Nassar, LPC/MHSP
• Linda A Nethery, PHYSICAL THERAPIST
• New Perspectives, LLC.
• Melanie Baker Nichols, PHARM. D.
• Madison Switcher Northcutt, FNP-C
• Northwest Tennessee Eye Clinic, PC
• Northwest Tennessee Eye Clinic, PC
• Northwest Tennessee Human Resource Agency
• Northwest Tennessee Human Resource Agency
• Nwthra

• Point of Service in Martin, TN
• Providers in Martin, TN by specialty
• Point of Service in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.