Twin Lakes Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29886 Issued in TN

Legal business name

TWIN LAKES FAMILY PRACTICE PC

Practice address

529 Medical Dr
Suite a
Livingston, TN 38570-1826

Phone

(931) 403-1710

Fax

(931) 403-1711

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Joseph Gaspar, MDNPI 1023095858

Title

MD President

Phone

(931) 403-1710

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4383/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Matthew Joseph Gaspar, MD

  • Family Medicine Physician
  • Alpine, TN
  • NPI 1023095858
  NPD Authorized official
• Heather Christine Gibson, APN

  • Nurse Practitioner
  • Spencer, TN
  • NPI 1750340980
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255386249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385700211",
            "telephone_number": "931-403-1710",
            "fax_number": "931-403-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 MEDICAL DR",
            "address_2": "SUITE A",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701826",
            "telephone_number": "931-403-1710",
            "fax_number": "931-403-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN LAKES FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GASPAR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "931-403-1710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "29886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3736212",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3817249",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Willie Thompson, APRN
• Top Flight Medical Group LLC
• Total Renal Care, Inc.
• Jacqueline Trainer
• Crystal Turner
• Twin Lakes Medical Imaging Consultants, P.C.
• Upper Cumberland Family Dentistry, PC
• Joe Thomas Upton, DDS
• Rachel Melissa Vinlove
• Walgreen Co

• Family Medicine Physician in Livingston, TN
• Providers in Livingston, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.