Active NPI
McEwen Family Clinic PLLC
- Family Nurse Practitioner
- McEwen, TN
National Provider Identifier
1124116454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MCEWEN FAMILY CLINIC PLLC
- Practice address
- 9307 Hwy 70 East
McEwen, TN 37101 - Phone
- (931) 582-6681
- Fax
- (931) 582-3758
- NPI assigned
- Oct 11, 2006
- Last updated
- May 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Warren Yancey, APN
- Title
- Owner
- Phone
- (931) 582-6681
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
9307 Hwy 70 East
McEwen, TN 37101
Mailing address
PO Box 306
MC Ewen, TN 37101-0306
Phone (931) 582-6681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3733088 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
9307 US Highway 70 E
Mc Ewen, TN 37101
Phone (931) 582-6681
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- McEwen, TN
- NPI 1447237649
-
- Adult Health Nurse Practitioner
- Dickson, TN
- NPI 1538296496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211328000000",
"number": "1124116454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306",
"city": "MC EWEN",
"state": "TN",
"postal_code": "371010306",
"telephone_number": "931-582-6681",
"fax_number": "931-582-3758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9307 HWY 70 EAST",
"city": "MCEWEN",
"state": "TN",
"postal_code": "37101",
"telephone_number": "931-582-6681",
"fax_number": "931-582-3758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCEWEN FAMILY CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2008-05-21",
"status": "A",
"authorized_official_last_name": "YANCEY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "WARREN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "931-582-6681",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3733088",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McEwen, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.