Organization Active NPI

Rapha Family Wellness PLLC

  • Family Medicine Physician
  • Hendersonville, TN
National Provider Identifier
1336571256
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2008 Issued in TN
Legal business name
RAPHA FAMILY WELLNESS PLLC
Practice address
129 Indian Lake Rd
Hendersonville, TN 37075-3820
Phone
(615) 338-5750
Fax
(615) 447-3827
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Dr. Malinda Dawn Linn, DONPI 1487778635
Title
Doctor
Phone
(615) 338-5750

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2008 TN Primary

Addresses

Primary practice location

129 Indian Lake Rd
Hendersonville, TN 37075-3820

Mailing address

129 Indian Lake Rd
Hendersonville, TN 37075-3820
Phone (615) 338-5750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140422000885 TN Part B Supplier - Clinic/Group Practice 1153553375 Receives reassigned benefits from 2 practitioners
Practice locations: Hendersonville, TN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2064264Rapha Family Wellness, PLLC129 Indian Lake Road, Hendersonville, TN 37075Certificate of waiverAug 15, 2027

National Provider Directory

National Provider Directory

Locations

109 Hazel Path
Ste 7
Hendersonvlle, TN 37075
Phone (615) 338-5750

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1336571256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 INDIAN LAKE RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753820",
            "telephone_number": "615-338-5750",
            "fax_number": "615-447-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 INDIAN LAKE RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753820",
            "telephone_number": "615-338-5750",
            "fax_number": "615-447-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA FAMILY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "LINN",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "615-338-5750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.