Organization Active NPI

Nashville Pain Center - Clarksville

Doing business as Pain Specialists of Middle Tennessee

  • Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1386962678
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11796 Issued in TN
Legal business name
NASHVILLE PAIN CENTER - CLARKSVILLE
Doing business as
Pain Specialists of Middle Tennessee
Practice address
781 Weatherly Dr
Unit D
Clarksville, TN 37043-8953
Phone
(931) 647-3050
NPI assigned
May 11, 2010
Last updated
May 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Katharine C Vachon, NP, MSN
Title
NP
Phone
(931) 647-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11796 TN Primary

Addresses

Primary practice location

781 Weatherly Dr
Unit D
Clarksville, TN 37043-8953

Mailing address

781 Weatherly Dr
Unit D
Clarksville, TN 37043-8953
Phone (931) 647-3050

Other names 1

  • PAIN SPECIALISTS OF MIDDLE TENNESSEE Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

781 Weatherly Dr
Ste D
Clarksville, TN 37043
Phone (615) 851-6996

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1386962678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 WEATHERLY DR",
            "address_2": "UNIT D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438953",
            "telephone_number": "931-647-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 WEATHERLY DR",
            "address_2": "UNIT D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438953",
            "telephone_number": "931-647-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHVILLE PAIN CENTER - CLARKSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "VACHON",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "931-647-3050",
        "authorized_official_credential": "NP, MSN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "11796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAIN SPECIALISTS OF MIDDLE TENNESSEE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.