Individual provider Active NPI

Dana Kay Martin, C.F.N.P.

Family Nurse Practitioner
Selmer, TN

National Provider Identifier

1497781454

Registry record updated Oct 18, 2010

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
Ownership & related parties
Organizations & group practices18
NPI Registry JSON
Other providers in Selmer, TN
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Family Nurse PractitionerTaxonomy code 363LF0000X
License: 7459 Issued in TN
Practice address: 1 Prime Care Dr
Selmer, TN 38375-1864
Phone: (731) 645-7932
Fax: (731) 645-5195
NPI assigned: Jun 23, 2006
Last updated: Oct 18, 2010By the provider in NPPES
Sex: Female
Sole proprietor: No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	7459	TN	Primary
Registered Nurse	163W00000X	111819	TN

Addresses

Primary practice location

1 Prime Care Dr
Selmer, TN 38375-1864

Mailing address

1 Prime Care Dr
Selmer, TN 38375-1864
Phone (731) 645-7932

Other names 1

Dana Kay Churchwell Former name

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment

Enrolled in TN, KY, MS, AR4 enrollments

Eligible to order & refer

Part B services: Yes
Medical equipment: Yes
Home health: Yes
Power mobility devices: Yes
Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Enrollment ID	State	Provider type	PAC ID	Details
I20101029000766	TN	Practitioner - Nurse Practitioner	9931393329	Reassigns benefits to 2 organizations
I20160303002602	KY	Practitioner - Nurse Practitioner	9931393329	Reassigns benefits to 2 organizations
I20180122000308	MS	Practitioner - Nurse Practitioner	9931393329	Reassigns benefits to 2 organizations
I20240419001379	AR	Practitioner - Nurse Practitioner	9931393329	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Enrolled
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
111819	TN	MD	Registered Nurse
7459	TN	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Fast Pace Medical Clinic PLLC		CurrentSince May 1, 2011	Accepting new patients
Christian Family Pharmacy LLC		CurrentSince Nov 22, 2021	Accepting new patients
Fast Pace Medical Clinic PLLC		CurrentSince May 1, 2011	Accepting new patients
Upperline Healthcare, PC		CurrentSince Sep 22, 2025	Accepting new patients
Fast Pace Mississippi, PLLC	Family	CurrentSince Dec 15, 2017	Accepting new patients
Fast Pace Kentucky PLLC	Family	CurrentSince Apr 1, 2016	Accepting new patients
Upperline Healthcare, PC		CurrentSince Sep 22, 2025	Accepting new patients
Fast Pace Mississippi, PLLC		CurrentSince Dec 15, 2017	Accepting new patients
Fast Pace Kentucky, PLLC		CurrentSince Apr 1, 2016	Accepting new patients
Fast Pace Mississippi, PLLC		CurrentSince Mar 1, 2024	Accepting new patients
Christian Family Medicine, LLC		PastSince May 3, 2019	Accepting new patients
Apc Holdings LLC		PastSince Jul 1, 2025	Accepting new patients
FPM Holdings LLC		PastSince Jul 1, 2025	Accepting new patients
Fast Pace Kentucky, PLLC		Past	Accepting new patients
Family Clinic at the Lake PLLC	Family	PastSince Jun 15, 2025	Accepting new patients
Fast Pace Kentucky PLLC		PastSince Jul 15, 2022	Accepting new patients
FC Indiana, LLC		PastSince Sep 16, 2022	Accepting new patients
Todd's Discount Drugs Inc.		PastSince Jan 10, 2021	Accepting new patients

Locations

1020 Highway 62 E
Mountain Home, AR 72653
Phone (870) 337-2171

200 S 20th St
Ste B
Rogers, AR 72758
Phone (479) 636-9393

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

6550 Carothers Pkwy
Ste 225
Franklin, TN 37067

Ownership & related parties

All facility ownership & control disclosures 186

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facility	Type	Role	Since
Christian Family MedicineRipley, TN, CCN 443951	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Nov 22, 2021
Christian Family Medicine and PediatricsCovington, TN, CCN 448905	Rural health clinic	5% Or Greater Direct Ownership Interest (100%) Corporate Officer (100%)	Nov 22, 2021 Nov 22, 2021
Christian Family MedicineTrenton, TN, CCN 448906	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Nov 22, 2021
Christian Family Medicine of Weakley CountyMartin, TN, CCN 448936	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Nov 22, 2021
Christian Family Medicine and PediatricsParsons, TN, CCN 443913	Rural health clinic	5% Or Greater Direct Ownership Interest (100%) Corporate Officer (100%)	Nov 22, 2021 Nov 22, 2021
Christian Family Medicine and PediatricsTullahoma, TN, CCN 883840	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Nov 22, 2021
Christian Family Medicine, LLCHenderson, TN, CCN 448969	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Nov 22, 2021
Fast Pace HealthCorryton, TN, CCN 883886	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthJamestown, TN, CCN 883891	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthHohenwald, TN, CCN 883871	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthJasper, TN, CCN 883892	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthChapel Hill, TN, CCN 883861	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthCenterville, TN, CCN 883867	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthHenderson, TN, CCN 883870	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Nov 1, 2021
Fast Pace HealthCarthage, TN, CCN 883901	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthCollinwood, TN, CCN 883868	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthHuntingdon, TN, CCN 883873	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthHumboldt, TN, CCN 883872	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Nov 1, 2021
Fast Pace HealthBrownsville, TN, CCN 883865	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthMount Pleasant, TN, CCN 883890	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthKodak, TN, CCN 883893	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthLafayette, TN, CCN 883874	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthLexington, TN, CCN 883875	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthLivingston, TN, CCN 883894	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthParsons, TN, CCN 883878	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthPiney Flats, TN, CCN 883898	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthCookeville, TN, CCN 883879	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthParis, TN, CCN 883877	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthOneida, TN, CCN 883897	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthLawrenceburg, TN, CCN 883862	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthSavannah, TN, CCN 883880	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthWinchester, TN, CCN 883906	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthMadisonville, TN, CCN 883895	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthRocky Top, TN, CCN 883904	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthEtowah, TN, CCN 883889	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthSmithville, TN, CCN 883908	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthSpringfield, TN, CCN 883882	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthWaverly, TN, CCN 883884	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthSelmer, TN, CCN 883881	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthOakland, TN, CCN 883876	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthNew Tazewell, TN, CCN 883896	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthDayton, TN, CCN 883887	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthMountain City, TN, CCN 883905	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthDyersburg, TN, CCN 883869	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthColumbia, MS, CCN A53807	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Dec 1, 2021
Fast Pace HealthNewton, MS, CCN A53817	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Dec 1, 2021
Fast Pace HealthGreenville, MS, CCN A53810	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Dec 1, 2021
Fast Pace HealthHazlehurst, MS, CCN A53811	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Dec 1, 2021
Fast Pace HealthCorinth, MS, CCN A53808	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Dec 1, 2021
Fast Pace HealthNatchez, MS, CCN A53816	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Dec 1, 2021
Fast Pace HealthEllisville, MS, CCN A53809	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Dec 1, 2021
Fast Pace HealthYazoo City, MS, CCN A53823	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Dec 1, 2021
Fast Pace HealthClarksdale, MS, CCN A53806	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Dec 1, 2021
Fast Pace HealthCarthage, MS, CCN A53805	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	May 1, 2019
Fast Pace HealthKosciusko, MS, CCN A53814	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Dec 10, 2021
Fast Pace HealthPhiladelphia, MS, CCN A53818	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	May 1, 2019
Fast Pace HealthRipley, MS, CCN A53819	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	May 1, 2019
Fast Pace HealthWiggins, MS, CCN A53822	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Dec 1, 2021
Fast Pace HealthVicksburg, MS, CCN A53820	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Dec 1, 2021
Fast Pace HealthAshland City, TN, CCN 883863	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthAthens, TN, CCN 883900	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 10, 2019
Fast Pace HealthBolivar, TN, CCN 883864	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 10, 2019
Fast Pace HealthCamden, TN, CCN 883866	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 10, 2019
Fast Pace HealthRockwood, TN, CCN 883903	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthErwin, TN, CCN 883888	Rural health clinic	5% Or Greater Direct Ownership Interest (33.34%)	May 1, 2019
Fast Pace HealthDunlap, TN, CCN 883902	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthSparta, TN, CCN 883899	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthUnion City, TN, CCN 883883	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthMayfield, KY, CCN B03870	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthFranklin, KY, CCN B03865	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthMadisonville, KY, CCN B03869	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthMurray, KY, CCN B03872	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthPrinceton, KY, CCN B03873	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthCentral City, KY, CCN B03864	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthBardstown, KY, CCN B03860	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthLawrenceburg, KY, CCN B03866	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthBenton, KY, CCN B03862	Rural health clinic	5% Or Greater Direct Ownership Interest (33.34%)	May 1, 2019
Fast Pace HealthBeaver Dam, KY, CCN B03861	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthLebanon, KY, CCN B03867	Rural health clinic	5% Or Greater Direct Ownership Interest (33.34%)	Dec 2, 2021
Fast Pace HealthRussellville, KY, CCN B03874	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace Medical Clinic, LLC ; Fast Pace HealthTell City, IN, CCN 153919	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthWoodbury, TN, CCN 883907	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthSomerset, KY, CCN B03875	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthCampbellsville, KY, CCN B03863	Rural health clinic	5% Or Greater Direct Ownership Interest (33.34%)	May 1, 2019
Fast Pace HealthLeitchfield, KY, CCN B03868	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	May 1, 2019
Fast Pace HealthMonticello, KY, CCN B03871	Rural health clinic	5% Or Greater Direct Ownership Interest (33.34%)	May 1, 2019
Fast Pace HealthCovington, TN, CCN 883911	Rural health clinic	5% Or Greater Direct Ownership Interest (34%)	Oct 5, 2019
Fast Pace HealthMcMinnville, TN, CCN 883914	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthNorth Vernon, IN, CCN 153920	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthGreenwood, MS, CCN A53828	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Aug 10, 2022
Fast Pace HealthHolly Springs, MS, CCN A53827	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Oct 5, 2019
Fast Pace HealthForest, MS, CCN A53829	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Oct 5, 2009
Fast Pace HealthShelbyville, TN, CCN 883916	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthWaynesboro, MS, CCN A53826	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Jun 6, 2022
Fast Pace HealthBrookhaven, MS, CCN A53825	Rural health clinic	5% Or Greater Direct Ownership Interest (100%)	Oct 5, 2019
Fast Pace HealthTullahoma, TN, CCN 883913	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthBlountville, TN, CCN 883912	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthFayetteville, TN, CCN 883915	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthMount Washington, KY, CCN B03896	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019
Fast Pace HealthArdmore, TN, CCN 883925	Rural health clinic	5% Or Greater Direct Ownership Interest (33.33%)	Oct 5, 2019

Showing 100 of 186 facilities.

Owned or controlled facilities with NPI records 116

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Christian Family Medicine, LLC

dba Christian Family Medicine and Pediatrics
- Family Medicine Physician
- Ripley, TN
- NPI 1043252620
5% Or Greater Direct Ownership Interest, Corporate Officer
CMS ownership
Fast Pace Medical Clinic PLLC
- Rural Health Clinic/Center
- Pulaski, TN
- NPI 1063177368
5% Or Greater Direct Ownership Interest
CMS ownership
Fast Pace Medical Clinic PLLC
- Rural Health Clinic/Center
- Rockwood, TN
- NPI 1134884430
5% Or Greater Direct Ownership Interest
CMS ownership
Fast Pace Medical Clinic PLLC
- Rural Health Clinic/Center
- Woodbury, TN
- NPI 1154086353
5% Or Greater Direct Ownership Interest
CMS ownership
Fast Pace Medical Clinic PLLC
- Rural Health Clinic/Center
- Huntingdon, TN
- NPI 1164187530
5% Or Greater Direct Ownership Interest
CMS ownership
Fast Pace Medical Clinic PLLC
- Rural Health Clinic/Center
- Rocky Top, TN
- NPI 1184381816
5% Or Greater Direct Ownership Interest
CMS ownership
Fast Pace Medical Clinic PLLC
- Rural Health Clinic/Center
- Lexington, TN
- NPI 1215692587
5% Or Greater Direct Ownership Interest
CMS ownership
Fast Pace Medical Clinic PLLC
- Rural Health Clinic/Center
- Henderson, TN
- NPI 1255096616
5% Or Greater Direct Ownership Interest
CMS ownership
Fast Pace Medical Clinic PLLC
- Rural Health Clinic/Center
- New Tazewell, TN
- NPI 1265197545
5% Or Greater Direct Ownership Interest
CMS ownership
Fast Pace Medical Clinic PLLC
- Rural Health Clinic/Center
- Dyersburg, TN
- NPI 1285399642
5% Or Greater Direct Ownership Interest
CMS ownership
Fast Pace Medical Clinic PLLC
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
CMS ownership
Fast Pace Medical Clinic PLLC
- Rural Health Clinic/Center
- Etowah, TN
- NPI 1326704206
5% Or Greater Direct Ownership Interest
CMS ownership

View all 116

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Fast Pace Medical Clinic PLLC
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
Medicare reassignment NPD
Fast Pace Kentucky PLLC

dba Fast Pace Urgent Care
- Family Nurse Practitioner
- Franklin, KY
- NPI 1457716706
Medicare reassignment NPD
Fast Pace Mississippi, PLLC
- Rural Health Clinic/Center
- Ripley, MS
- NPI 1447769559
Family
Medicare reassignment NPD
Fast Pace Mississippi, PLLC

dba Fast Pace Health
- Urgent Care Clinic/Center
- Greenbriar, AR
- NPI 1982361259
Medicare reassignment NPD
Upperline Healthcare, PC
- Foot & Ankle Surgery Podiatrist
- Hoover, AL
- NPI 1538686498
AR, KY, MS, TN
Medicare reassignment NPD
Christian Family Pharmacy LLC
- Community/Retail Pharmacy
- Ripley, TN
- NPI 1205857273
NPD
Fast Pace Medical Clinic PLLC
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
NPD
Fast Pace Kentucky, PLLC

dba Fast Pace Health
- Rural Health Clinic/Center
- Spindale, NC
- NPI 1942027891
NPD
Fast Pace Mississippi, PLLC
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1851050579
NPD
Upperline Healthcare, PC
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
NPD
Christian Family Medicine, LLC

dba Christian Family Medicine and Pediatrics
- Family Medicine Physician
- Ripley, TN
- NPI 1043252620
NPD (past)
Family Clinic at the Lake PLLC
- Rural Health Clinic/Center
- Savannah, TN
- NPI 1295620557
Family
NPD (past)

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1497781454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRIME CARE DR",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751864",
            "telephone_number": "731-645-7932",
            "fax_number": "731-645-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRIME CARE DR",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751864",
            "telephone_number": "731-645-7932",
            "fax_number": "731-645-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DANA",
        "middle_name": "KAY",
        "credential": "C.F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7459",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "111819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "CHURCHWELL",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Selmer, TN

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.