NPIMap

Organization Active NPI

Bear Creek Medical Clinic

  • Primary Care Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1437418258
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APN0000012542 Issued in TN
Legal business name
BEAR CREEK MEDICAL CLINIC
Practice address
156 Bear Creek Pike
7 A
Columbia, TN 38401-2288
Phone
(931) 388-3830
Fax
(931) 388-3836
NPI assigned
May 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Jennifer Val Neel, ANP
Title
Owner/Adult Nurse Practitioner
Phone
(931) 388-3830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X APN0000012542 TN Primary

Addresses

Primary practice location

156 Bear Creek Pike
7 A
Columbia, TN 38401-2288

Mailing address

156 Bear Creek Pike
7 A
Columbia, TN 38401-2288
Phone (931) 388-3830

National Provider Directory

National Provider Directory

Locations

156 Bear Creek Pike
#7A
Columbia, TN 38401
Phone (931) 388-3830

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1437418258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 BEAR CREEK PIKE",
            "address_2": "7 A",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012288",
            "telephone_number": "931-388-3830",
            "fax_number": "931-388-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 BEAR CREEK PIKE",
            "address_2": "7 A",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012288",
            "telephone_number": "931-388-3830",
            "fax_number": "931-388-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR CREEK MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "NEEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "VAL",
        "authorized_official_title_or_position": "OWNER/ADULT NURSE PRACTITIONER",
        "authorized_official_telephone_number": "931-388-3830",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN0000012542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.