Organization Active NPI

Pulaski Pediatrics, PLLC

  • Pediatrics Physician
  • Pulaski, TN
National Provider Identifier
1295154482
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
37925 Issued in TN
Legal business name
PULASKI PEDIATRICS, PLLC
Practice address
1125 E College St
Pulaski, TN 38478-4520
Phone
(931) 424-5437
Fax
(931) 424-5448
NPI assigned
Apr 15, 2014
Last updated
Apr 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Dr. Mildred Angeles Franco-Chen, M.D.NPI 1700995503
Title
Pediatrician
Phone
(931) 424-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 37925 TN Primary
Family Nurse Practitioner 363LF0000X APN0000011697 TN

Addresses

Primary practice location

1125 E College St
Pulaski, TN 38478-4520

Mailing address

1125 E College St
Pulaski, TN 38478-4520
Phone (931) 424-5437

Other identifiers 1

IdentifierTypeStateIssuer
3206601MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1295154482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784520",
            "telephone_number": "931-424-5437",
            "fax_number": "931-424-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784520",
            "telephone_number": "931-424-5437",
            "fax_number": "931-424-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "FRANCO-CHEN",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "ANGELES",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "931-424-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "37925",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000011697",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3206601",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.