Rockvale Family Practice, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN18979 Issued in TN

Legal business name

ROCKVALE FAMILY PRACTICE, LLC

Practice address

7800 Highway 99
Rockvale, TN 37153-4137

Phone

(931) 224-2973

NPI assigned

Jun 14, 2017

Last updated

Mar 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Penny Marie Matthews, FNP-CNPI 1629486923

Title

Nurse Practitioner

Phone

(615) 722-1191

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Penny Marie Matthews, FNP-C

  • Family Nurse Practitioner
  • Shelbyville, TN
  • NPI 1629486923
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1326578147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 HIGHWAY 99",
            "city": "ROCKVALE",
            "state": "TN",
            "postal_code": "371534137",
            "telephone_number": "615-722-1191",
            "fax_number": "949-543-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 HIGHWAY 99",
            "city": "ROCKVALE",
            "state": "TN",
            "postal_code": "371534137",
            "telephone_number": "931-224-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKVALE FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "615-722-1191",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN18979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q012937",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Thomas Myers, MS, LAT, ATC
• Hailey Ness
• Natalie Foulks Pointer
• Karen Marie Potts, MSW
• Zachary Reagan Riddle, LMT
• Graciela Sauzameda
• Christopher Bruce Turner
• Matthew Clinton Warner, ATC
• Kristen Xiong, RD

• Family Nurse Practitioner in Rockvale, TN
• Providers in Rockvale, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.