Organization Active NPI

Internal Medicine at the Livingston Clinic

  • Internal Medicine Physician
  • Livingston, TN
National Provider Identifier
1295084168
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Sep 6, 2012

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.