Community Quick Care

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

19598 Issued in TN

Legal business name

COMMUNITY QUICK CARE

Practice address

1670 W Main St
Suite 140
Lebanon, TN 37087-1344

Phone

(614) 493-9492

NPI assigned

Oct 28, 2015

Organization subpart

No

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

Authorized official

Name

Michael Heltom, MD

Title

Medical Director

Phone

(615) 890-4810

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1477925550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 W MAIN ST",
            "address_2": "SUITE 140",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 W MAIN ST",
            "address_2": "SUITE 140",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871344",
            "telephone_number": "614-493-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY QUICK CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "HELTOM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-890-4810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "19598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.