Balsam Medical, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BALSAM MEDICAL, PLLC

Doing business as

Cub Clinic

Practice address

530 W Adams St
Woodbury, TN 37190-1622

Phone

(615) 962-3675

NPI assigned

Sep 8, 2011

Last updated

Sep 8, 2011By 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

Paula Todd, FNPNPI 1144273061

Title

Nurse Practitioner

Phone

(615) 962-3675

Specialties & licenses 1

Addresses

Other names 1

• Cub Clinic Doing business as

Locations

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.

• Paula Todd, FNP

  • Family Nurse Practitioner
  • Woodbury, TN
  • NPI 1144273061
  NPD (past) Authorized official

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1497036198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371900024",
            "telephone_number": "615-962-3675",
            "fax_number": "615-246-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W ADAMS ST",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901622",
            "telephone_number": "615-962-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALSAM MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "615-962-3675",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cub Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hunter Brianne Alderson, CNA
• Melissa Ann Allen, M.T.
• Susan Bennett Allison, D.D.S.
• Kelly Alviar
• Micah Katherine Applegate
• Balsam Partners, PLLC
• Theda Diane Bell, LCSW
• Holly Spurlock Blankenship, D.O.
• Shelby Marie Boman, OTD, OTR/L
• Amy Bontrager, FNP

• Primary Care Clinic/Center in Woodbury, TN
• Providers in Woodbury, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.