TLC II Primary Care PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN00000051112 Issued in TN

Legal business name

TLC II PRIMARY CARE PLLC

Practice address

9457 David Smith LN
Suite 105
Ooltewah, TN 37363-7292

Phone

(423) 362-7600

NPI assigned

Nov 24, 2014

Last updated

Nov 24, 2014By 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

Dr. Robyn L Sandin, MD

Title

Owner

Phone

(423) 362-7600

Specialties & licenses 1

Addresses

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.

• Don D Duff, FNP-C

  • Nurse Practitioner
  • Chattanooga, TN
  • NPI 1588606636
  NPD

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1427455138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9457 DAVID SMITH LANE",
            "address_2": "SUITE 105",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637292",
            "telephone_number": "423-362-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9457 DAVID SMITH LN",
            "address_2": "SUITE 105",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637292",
            "telephone_number": "423-362-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC II PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "SANDIN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-362-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN00000051112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Michelle Thayer, LMT
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• Darian Tittsworth
• TLC Primary Care LLC
• Todd E. Ealy D.D.S. (wolftever dental)
• Vanessa Todd, RN
• Latisha L Toney, DNP, APRN, FNP-BC
• Rebecca Marie Trent, M.S., LMFT

• Family Nurse Practitioner in Ooltewah, TN
• Providers in Ooltewah, 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 Nov 24, 2014; 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.