Organization Active NPI

Tazewell Family Health, Inc.

  • Clinic/Center
  • Tazewell, VA
National Provider Identifier
1326404203
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0024171492 Issued in VA
Legal business name
TAZEWELL FAMILY HEALTH, INC.
Practice address
840 E Fincastle Tpke
Tazewell, VA 24651-1419
Phone
(276) 385-0279
NPI assigned
Jan 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Mrs. Karen E Brewster, FNP
Title
Officer
Phone
(276) 385-0279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0024171492 VA Primary

Addresses

Primary practice location

840 E Fincastle Tpke
Tazewell, VA 24651-1419

Mailing address

840 E Fincastle Tpke
Tazewell, VA 24651-1419
Phone (276) 385-0279

Other identifiers 1

IdentifierTypeStateIssuer
1134543911OtherVAINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160613001558 VA Part B Supplier - Clinic/Group Practice 5890085377 Receives reassigned benefits from 1 practitioner
Practice locations: Tazewell, VA

National Provider Directory

National Provider Directory

Locations

1632 Fincastle Tpke
Tazewell, VA 24651
Phone (276) 988-4400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9576/brand/1/csg/1/fhir/r4

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": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1326404203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E FINCASTLE TPKE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246511419",
            "telephone_number": "276-385-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E FINCASTLE TPKE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246511419",
            "telephone_number": "276-385-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAZEWELL FAMILY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "BREWSTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "276-385-0279",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0024171492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1134543911",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.