Primary Care Plus

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

11796 Issued in TN

Legal business name

PRIMARY CARE PLUS

Practice address

291 Clear Sky CT
B
Clarksville, TN 37043-5951

Phone

(931) 802-6058

Fax

(931) 802-6059

NPI assigned

Apr 27, 2016

Organization subpart

No

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

Authorized official

Name

Katharine Vachon, N.P.

Title

Owner

Phone

(931) 802-6058

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Nashville Pain Center - Clarksville

  • Nurse Practitioner
  • Clarksville, TN
  • NPI 1386962678

  Member Of

  NPD member

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1548615552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 CLEAR SKY CT",
            "address_2": "B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435951",
            "telephone_number": "931-802-6058",
            "fax_number": "931-802-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 CLEAR SKY CT",
            "address_2": "B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435951",
            "telephone_number": "931-802-6058",
            "fax_number": "931-802-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "VACHON",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-802-6058",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "11796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517918",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Michael Price, D.C.
• Kristi L Price, P.T.A.
• Trista Ann Price, LCSW
• John Christian Prichard, PHARM.D.
• Taylor Priest
• William W Prine, MD
• Willie Pringle
• Elizabeth E Pritchett, M.D.
• Privia Medical Group Tennessee LLC
• Privia Medical Group Tennessee LLC

• All providers in Clarksville, TN
• Acute Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.