Personalized Healthcare for Women LLC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

APN05511 Issued in TN

Legal business name

PERSONALIZED HEALTHCARE FOR WOMEN LLC

Practice address

6116 Shallowford Rd
Suite 117
Chattanooga, TN 37421-7201

Phone

(423) 702-5581

Fax

(423) 702-5605

NPI assigned

Nov 13, 2008

Last updated

Feb 27, 2009By 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

Beverly Jacks, CNM, APNNPI 1003954595

Title

Owner

Phone

(423) 702-5581

Specialties & licenses 1

Addresses

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.

• Beverly J Jacks, CNM, APRN

  • Women's Health Nurse Practitioner
  • Chattanooga, TN
  • NPI 1003954595
  Authorized official Same address or phone

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1538313853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 SHALLOWFORD RD",
            "address_2": "SUITE 117",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217201",
            "telephone_number": "423-702-5581",
            "fax_number": "423-702-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 SHALLOWFORD RD",
            "address_2": "SUITE 117",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217201",
            "telephone_number": "423-702-5581",
            "fax_number": "423-702-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED HEALTHCARE FOR WOMEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "JACKS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-702-5581",
        "authorized_official_credential": "CNM, APN"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "APN05511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Wade Perry, PHARMD, MM
• Mitzie D Perry, APRN
• Sparka J. Perry, LMSW
• Ladana Persinger, RN
• Personal Medicine LLC
• Perspective Family Eye Care LLC
• Richard Pesce, MD
• Steven D Petarra, M.D.
• Peter Roger Deversa MD PLLC
• Jason Paul Peter, APRN, FNP-BC

• Advanced Practice Midwife in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Advanced Practice Midwife in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.