Christian Care Clinic

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

CHRISTIAN CARE CLINIC

Practice address

625 W Main St
Newbern, TN 38059-1572

Phone

(731) 627-0700

NPI assigned

Mar 10, 2011

Last updated

Mar 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy HolcombNPI 1891701710

Title

Consultant

Phone

(731) 627-0700

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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.

• Tammy Holcomb, NP

  • Family Nurse Practitioner
  • Newbern, TN
  • NPI 1891701710
  NPD Authorized official
• Teresa Ann Stewart, NP-C

  • Family Nurse Practitioner
  • Dyersburg, TN
  • NPI 1932449386
  NPD (past)

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1194023408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W MAIN ST",
            "city": "NEWBERN",
            "state": "TN",
            "postal_code": "380591572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W MAIN ST",
            "city": "NEWBERN",
            "state": "TN",
            "postal_code": "380591572",
            "telephone_number": "731-627-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "731-627-0700"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Butler, APRN
• Lacey Jean Carter, MS CCC SLP
• Christy R Newbaker (Main Street Vital Care)
• Mark Anthony Davis
• Dodds Eyecare, PLC
• Brandon Lee Dodds, OD
• Family Care, P.C.

• Primary Care Nurse Practitioner in Newbern, TN
• Providers in Newbern, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.