Organization Active NPI

Singleton Family Practice & Weight Loss Clinic, LLC

  • Family Nurse Practitioner
  • Goodlettsville, TN
National Provider Identifier
1235455304
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6433 Issued in TN
Legal business name
SINGLETON FAMILY PRACTICE & WEIGHT LOSS CLINIC, LLC
Practice address
430 Long Hollow Pike
E
Goodlettsville, TN 37072-3480
Phone
(615) 859-8081
Fax
(615) 859-8082
NPI assigned
Apr 14, 2010
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Codye SingletonNPI 1073500377
Title
Owner
Phone
(615) 859-8081

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 6433 TN Primary

Addresses

Primary practice location

430 Long Hollow Pike
E
Goodlettsville, TN 37072-3480

Mailing address

238 Iris Dr
Hendersonville, TN 37075-2227
Phone (615) 859-8081

Other names 1

  • Singleton Family Practice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100921001169 TN Part B Supplier - Clinic/Group Practice 3173648664 Receives reassigned benefits from 1 practitioner
Practice locations: Goodlettsville, 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
44D2005889Singleton Family Practice430 Long Hollow Pike Suite E, Goodlettsville, TN 37072Certificate of waiverApr 6, 2028

National Provider Directory

National Provider Directory

Locations

430 Long Hollow Pike
Ste E
Goodlettsville, TN 37072
Phone (615) 859-8081

Practitioners & affiliated clinicians

Practitioners 3

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": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1235455304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 IRIS DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752227",
            "telephone_number": "615-859-8081",
            "fax_number": "615-859-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 LONG HOLLOW PIKE",
            "address_2": "E",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723480",
            "telephone_number": "615-859-8081",
            "fax_number": "615-859-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGLETON FAMILY PRACTICE & WEIGHT LOSS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "CODYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-859-8081"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Singleton Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.