Dr. Andrea'S Medical & Weight Loss Clinic, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

APN0000011998 Issued in TN

Legal business name

DR. ANDREA'S MEDICAL & WEIGHT LOSS CLINIC, PLLC

Practice address

8317 Cordova Rd
Suite 201
Cordova, TN 38016-2088

Phone

(901) 573-6765

NPI assigned

Nov 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Andre Walker, DNP, FNP-C

Title

Owner

Phone

(901) 573-6765

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1376095596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8317 CORDOVA RD",
            "address_2": "SUITE 201",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8317 CORDOVA RD",
            "address_2": "SUITE 201",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162088",
            "telephone_number": "901-573-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANDREA'S MEDICAL & WEIGHT LOSS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-573-6765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "APN0000011998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Cordova, TN
• Providers in Cordova, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.