Organization Active NPI

Wulfram Cross Enterprises LLC

  • Clinic/Center
  • Greeneville, TN
National Provider Identifier
1285406454
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WULFRAM CROSS ENTERPRISES LLC
Practice address
1055 Cedar Creek Rd
Greeneville, TN 37743-2548
Phone
(352) 584-7532
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Lena Champlin, ARNP
Title
Owner
Phone
(352) 584-7532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1055 Cedar Creek Rd
Greeneville, TN 37743-2548

Mailing address

1055 Cedar Creek Rd
Greeneville, TN 37743-2548

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1285406454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 CEDAR CREEK RD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377432548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 CEDAR CREEK RD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377432548",
            "telephone_number": "352-584-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WULFRAM CROSS ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "CHAMPLIN",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-584-7532",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.