Organization Active NPI

The Wellness Center of West TN Inc

  • Personal Care Attendant
  • Ripley, TN
National Provider Identifier
1285879577
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
1000000003445 Issued in TN
Legal business name
THE WELLNESS CENTER OF WEST TN INC
Practice address
171 Tucker Street
Ripley, TN 38063
Phone
(731) 612-8869
NPI assigned
Dec 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Samantha Nicole Terry
Title
Director/Ceo
Phone
(731) 612-8869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X 1000000003445 TN Primary

Addresses

Primary practice location

171 Tucker Street
Ripley, TN 38063

Mailing address

171 Tucker Street
Ripley, TN 38063
Phone (731) 612-8869

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1285879577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 TUCKER STREET",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "38063",
            "telephone_number": "731-612-8869",
            "fax_number": "731-221-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 TUCKER STREET",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "38063",
            "telephone_number": "731-612-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS CENTER OF WEST TN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "731-612-8869"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "TN",
            "license": "1000000003445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.