Housecalls360, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HOUSECALLS360, LLC

Practice address

3141 New Highway 7
Santa Fe, TN 38482-5302

Phone

(931) 671-5005

Fax

(844) 496-0449

NPI assigned

Jun 30, 2016

Last updated

Jun 30, 2016By 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

Mark Allen Graves, NP

Title

Nurse Practitioner

Phone

(931) 671-5005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1194176123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 NEW HIGHWAY 7",
            "city": "SANTA FE",
            "state": "TN",
            "postal_code": "384825302",
            "telephone_number": "931-671-5005",
            "fax_number": "844-496-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 NEW HIGHWAY 7",
            "city": "SANTA FE",
            "state": "TN",
            "postal_code": "384825302",
            "telephone_number": "931-671-5005",
            "fax_number": "844-496-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSECALLS360, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "931-671-5005",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• House Call Medical, LLC
• Sara Rosser, CPM-TN
• Destiny Shay Southern, FNP-BC
• Meagan Thompson

• Family Nurse Practitioner in Santa Fe, TN
• Providers in Santa Fe, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.