NPIMap

Organization Active NPI

Henson's Family Medical LLC

  • Family Nurse Practitioner
  • Tullahoma, TN
National Provider Identifier
1386875987
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HENSON'S FAMILY MEDICAL LLC
Practice address
622 Wilson Ave
Tullahoma, TN 37388-3265
Phone
(931) 393-2362
Fax
(931) 393-3210
NPI assigned
Jul 30, 2009
Last updated
Jul 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Mrs. Deborah L Edwards, NP-C
Title
Family Nirse Practitioner
Phone
(931) 393-2362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

622 Wilson Ave
Tullahoma, TN 37388-3265

Mailing address

622 Wilson Ave
Tullahoma, TN 37388-3265
Phone (931) 393-2362

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1386875987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 WILSON AVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883265",
            "telephone_number": "931-393-2362",
            "fax_number": "931-393-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 WILSON AVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883265",
            "telephone_number": "931-393-2362",
            "fax_number": "931-393-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENSON'S FAMILY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FAMILY NIRSE PRACTITIONER",
        "authorized_official_telephone_number": "931-393-2362",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.