NPIMap

Organization Active NPI

Mountain View Pediatrics and Internal Medicine

  • Clinic/Center
  • Jefferson City, TN
National Provider Identifier
1487961173
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MOUNTAIN VIEW PEDIATRICS AND INTERNAL MEDICINE
Practice address
657 E Broadway Blvd
Jefferson City, TN 37760-4948
Phone
(423) 587-7333
NPI assigned
Sep 2, 2010
Organization subpart
Yes
Parent organization
MERCY PHYSICIAN SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Susanne Nelms
Title
Practice Administrator/Director
Phone
(865) 549-4892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

657 E Broadway Blvd
Jefferson City, TN 37760-4948

Mailing address

657 E Broadway Blvd
Jefferson City, TN 37760-4948
Phone (423) 587-7333

National Provider Directory

National Provider Directory
Tax ID family
Mercy Women'S Center31 organizations share this tax ID, including this one
Part of
Mercy Women'S Center

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1487961173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E BROADWAY BLVD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604948",
            "telephone_number": "423-587-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E BROADWAY BLVD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604948",
            "telephone_number": "423-587-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW PEDIATRICS AND INTERNAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY PHYSICIAN SERVICES, LLC",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "NELMS",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR/DIRECTOR",
        "authorized_official_telephone_number": "865-549-4892"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.