The Children'S Clinic, PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

THE CHILDREN'S CLINIC, PC

Practice address

2121 N Locust Ave
Ste 1
Lawrenceburg, TN 38464-4454

Phone

(931) 762-5988

Fax

(931) 762-3389

NPI assigned

Oct 6, 2016

Organization subpart

No

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

Authorized official

Name

Renee Krick

Title

Office Manager

Phone

(931) 762-5988

Specialties & licenses 1

Addresses

Tax ID family

The Children'S Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Children'S Clinic PC

  • Specialist
  • Lawrenceburg, TN
  • NPI 1265498810
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1895/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1467902163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N LOCUST AVE",
            "address_2": "STE 1",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644454",
            "telephone_number": "931-762-5988",
            "fax_number": "931-762-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N LOCUST AVE",
            "address_2": "STE 1",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644454",
            "telephone_number": "931-762-5988",
            "fax_number": "931-762-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "KRICK",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-762-5988"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tennessee CVS Pharmacy LLC
• Tennessee Oncology Pharmacy Dispensing
• Tennessee Oncology PLLC
• Tennessee Valley Allergy Servcies
• The Children'S Clinic PC
• The Speech Language & Learning Center LLC
• The Vision Center
• Roger Duane Thomas, PMHNP-BC
• Monica L Thompson, NP
• Retha R Tibbs, BSW

• Pediatric Nurse Practitioner in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.