Active NPI
Internal Medicine at the Livingston Clinic
- Internal Medicine Physician
- Livingston, TN
National Provider Identifier
1295084168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INTERNAL MEDICINE AT THE LIVINGSTON CLINIC
- Practice address
- 500 W Main St
Livingston, TN 38570-1718 - Phone
- (931) 823-5681
- Fax
- (931) 823-8203
- NPI assigned
- Sep 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen D. Hanks, MD
- Title
- Sole Member
- Phone
- (931) 823-5681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
500 W Main St
Livingston, TN 38570-1718
Mailing address
500 W Main St
Livingston, TN 38570-1718
Phone (931) 823-5681
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346889600000",
"number": "1295084168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W MAIN ST",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385701718",
"telephone_number": "931-823-5681",
"fax_number": "931-823-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MAIN ST",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385701718",
"telephone_number": "931-823-5681",
"fax_number": "931-823-8203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE AT THE LIVINGSTON CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-06",
"status": "A",
"authorized_official_last_name": "HANKS",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "931-823-5681",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.