Self Centered Weight Loss and Wellness of Murfreesboro, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SELF CENTERED WEIGHT LOSS AND WELLNESS OF MURFREESBORO, PLLC

Doing business as

Mitchell Family Clinic

Practice address

1211 Leaf Ave Ste 102
Murfreesboro, TN 37130-2642

Phone

(615) 849-7777

Fax

(615) 849-7753

NPI assigned

Jul 23, 2010

Organization subpart

No

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

Authorized official

Name

Amanda J Smith

Title

Office Manager

Phone

(615) 849-7777

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mitchell Family 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.

• Bobijo Murphy

  • Orthotic Fitter
  • Murfreesboro, TN
  • NPI 1609075621
  NPD (past)

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1518270115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 LEAF AVE STE 102",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302642",
            "telephone_number": "615-849-7777",
            "fax_number": "615-849-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 LEAF AVE STE 102",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302642",
            "telephone_number": "615-849-7777",
            "fax_number": "615-849-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF CENTERED WEIGHT LOSS AND WELLNESS OF MURFREESBORO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-849-7777"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3499953",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP  NPI NUMBER",
            "identifier": "1518270115",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Lee Seely, MPT
• Andrew Thomas Seiber, RD
• Michael Edrick Seibert, MD
• Kaylee Seithel
• Select Physical Therapy Holdings, Inc.
• Amy Francis Self, PT
• Candice Sellars, RN
• David M Sellers, MD
• Carol Senecal
• Southida Sengsayadeth, FNP

• Internal Medicine Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.