Organization Active NPI

East Nashville Family Medicine

  • Primary Care Clinic/Center
  • Nashville, TN
National Provider Identifier
1417384033
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
8652 Issued in TN
Legal business name
EAST NASHVILLE FAMILY MEDICINE
Practice address
805 Woodland St
Nashville, TN 37206
Phone
(615) 589-8652
Fax
(615) 255-7990
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Jason Lehan BoylanNPI 1538116561
Title
Owner
Phone
(615) 589-8652

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
Primary Care Clinic/Center 261QP2300X 8652 TN Primary

Addresses

Primary practice location

805 Woodland St
Nashville, TN 37206

Mailing address

301 Church St
Nashville, TN 37201-1701
Phone (615) 589-8652

National Provider Directory

National Provider Directory

Locations

805 Woodland St
Nashville, TN 37206
Phone (615) 589-8652

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14140/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1417384033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CHURCH ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011701",
            "telephone_number": "615-589-8652",
            "fax_number": "615-255-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 WOODLAND ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37206",
            "telephone_number": "615-589-8652",
            "fax_number": "615-255-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST NASHVILLE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "BOYLAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LEHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-589-8652"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "8652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.