Willow Medical, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000010747 Issued in TN

Legal business name

WILLOW MEDICAL, LLC

Practice address

193 Relco Dr
Manchester, TN 37355-7386

Phone

(931) 728-3097

NPI assigned

Nov 5, 2010

Last updated

May 2, 2012By 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

Katherine PropstNPI 1043273436

Title

Owner

Phone

(931) 728-3097

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blessed Medical, LLC Other name

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.

• Katherine Propst, APRN BC

  • Nurse Practitioner
  • Manchester, TN
  • NPI 1043273436
  NPD (past) Authorized official
• Harry Albert Bartee Jr., MD

  • Emergency Medicine Physician
  • Manchester, TN
  • NPI 1467433623
  NPD (past)

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1225339377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 RELCO DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373557386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 RELCO DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373557386",
            "telephone_number": "931-728-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "PROPST",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-728-3097"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000010747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509931",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blessed Medical, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Taylor Watts, PA
• Katherine Corrin Webb
• Amy B White, APN
• Whole Family Clinic, PLLC
• Willow Medical Clinic, LLC
• Willow Pediatric Clinic, LLC
• Sarah Schwartz Wilson, M.D.
• Laurie Winton, LPC-MHSP
• Dustin Taylor Wiseman
• Callie Marie Wolfe, M.S. CCC-SLP

• Family Nurse Practitioner in Manchester, TN
• Providers in Manchester, 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 May 2, 2012; 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.