Organization Active NPI

Bee Well Urgent Care LLC

  • Family Medicine Physician
  • Lebanon, TN
National Provider Identifier
1134898992
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BEE WELL URGENT CARE LLC
Practice address
6650 Eastgate Blvd Ste 104
Lebanon, TN 37090-6018
Phone
(615) 900-5451
Fax
(615) 900-5440
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Sara Dicken, PA-CNPI 1942297197
Title
Member
Phone
(615) 900-5451

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 Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6650 Eastgate Blvd Ste 104
Lebanon, TN 37090-6018

Mailing address

6650 Eastgate Blvd Ste 104
Lebanon, TN 37090-6018
Phone (563) 543-3291

Other identifiers 1

IdentifierTypeStateIssuer
Q069776MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211015001563 TN Part B Supplier - Clinic/Group Practice 0749688133 Receives reassigned benefits from 3 practitioners
Practice locations: Lebanon, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2248222Bee Well Urgent Care6650 Eastgate Blvd, Suite 104, Lebanon, TN 37090Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory

Locations

3530 Volunteer Blvd
Ste 100
Henderson, NV 89044

730 N Eastern Ave
Ste 100
Las Vegas, NV 89101
Phone (702) 586-1974

6650 Eastgate Blvd
Ste 104
Lebanon, TN 37090
Phone (563) 543-3291

6650 Eastgate Blvd
Lebanon, TN 37090

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1134898992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 EASTGATE BLVD STE 104",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370906018",
            "telephone_number": "563-543-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 EASTGATE BLVD STE 104",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370906018",
            "telephone_number": "615-900-5451",
            "fax_number": "615-900-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEE WELL URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "DICKEN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "615-900-5451",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q069776",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.