Definite Wellness

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

DEFINITE WELLNESS

Practice address

401 Wilson Ave
Tullahoma, TN 37388-3357

Phone

(931) 434-2140

NPI assigned

Nov 13, 2019

Last updated

Nov 13, 2019By 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

Candice Marie Kinney, FNP

Title

Owner

Phone

(931) 434-0439

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Lauren Taylor Shores, APRN

  • Family Nurse Practitioner
  • Tullahoma, TN
  • NPI 1720842016
  NPD
• Brittany Vann

  • Family Nurse Practitioner
  • Tullahoma, TN
  • NPI 1295685550
  NPD (past)

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1285279265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WILSON AVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883357",
            "telephone_number": "931-434-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WILSON AVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883357",
            "telephone_number": "931-434-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFINITE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-434-0439",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.definitewellness.net",
            "affiliation": "N",
            "endpointDescription": "web page",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 Wilson Ave",
            "city": "Tullahoma",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373883357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natasha Monique Davis, M.S.
• Philip Carson Davis
• Sarah Elizabeth Davis, MT-BC, TEACHING CERT
• Susan Davis, BA
• Tim Davis
• Sara Walker Derington, LSPE
• DG Surgical-Nashville, LLC
• Dialysis Associates, LLC (Fresenius Medical Care Tullahoma)
• Nicholas Michael Dibisceglie, PHARMD, MMHC
• April Michelle Dicks, FNP-BC

• Nurse Practitioner in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.