Dyersburg Family Walk-in Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DYERSBURG FAMILY WALK-IN CLINIC

Doing business as

Reelfoot Family Walk-In Clinic

Practice address

1509 E Reelfoot Ave
Union City, TN 38261-5845

Phone

(731) 285-6110

Fax

(731) 285-6964

NPI assigned

Mar 29, 2011

Last updated

Mar 29, 2011By 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

Sheryl Lyn Wright, FNPNPI 1942249677

Title

Owner/ President

Phone

(731) 285-6110

Specialties & licenses 1

Addresses

Other names 1

• Reelfoot Family Walk-In Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dyersburg Family Walk-in Clinic LLC

  dba Reelfoot Family Walk-In Clinic

  • Rural Health Clinic/Center
  • Dyersburg, TN
  • NPI 1174712780

  O20040501000299

  Same enrollment

Tax ID family

Dyersburg Family Walk-in Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dyersburg Family Walk-in Clinic

  dba Neighborhood Walk-In Clinic

  • Family Medicine Physician
  • Paris, TN
  • NPI 1689132193
  NPD tax ID

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.

• Sheryl Lynn Wright, FNP

  • Family Nurse Practitioner
  • Dyersburg, TN
  • NPI 1942249677
  Authorized official Same address or phone

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1376832436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 E REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615845",
            "telephone_number": "731-285-6110",
            "fax_number": "731-285-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 E REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615845",
            "telephone_number": "731-285-6110",
            "fax_number": "731-285-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYERSBURG FAMILY WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "731-285-6110",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reelfoot Family Walk-In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doctors' Clinic of Union City, P.C.
• Selena Parnell Dozier, M.D.
• Dr. Mark Armstrong MD PC
• DRS. Jordan & Bondurant PLLC
• Misty Dunn, PTA
• E.W. James & Sons, Inc (E.W. James Pharmacy #70)
• Randy A Earls, APN
• Natasha Edwards
• Candace R Eubanks, LCSW
• Ew James & Sons, Inc, Dba Ew James Pharmacy #70

• Family Nurse Practitioner in Union City, TN
• Providers in Union City, 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 29, 2011; 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.