Organization Active NPI

McEwen Family Clinic PLLC

  • Family Nurse Practitioner
  • McEwen, TN
National Provider Identifier
1124116454
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
David Warren Yancey, APNNPI 1447237649
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3733088MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.