Telehealthone, LLC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

Legal business name

TELEHEALTHONE, LLC

Practice address

225 Meadowbrook Road
Jackson, MS 39206

Phone

(601) 859-4342

Fax

(844) 965-9592

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Christpher B Powe, ACNP-BC, PH.D.

Title

Chief Operating Officer

Phone

(601) 859-4342

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1558718304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 WATFORD PARKWAY",
            "address_2": "SUITE 202",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390467900",
            "telephone_number": "601-859-4342",
            "fax_number": "844-965-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEADOWBROOK ROAD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206",
            "telephone_number": "601-859-4342",
            "fax_number": "844-965-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEHEALTHONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "POWE",
        "authorized_official_first_name": "CHRISTPHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "601-859-4342",
        "authorized_official_credential": "ACNP-BC, PH.D."
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00525567",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vladimir Tchikrizov
• Clint Teague, M.D.
• Lara J Teal Clement, MD
• Team 82 Physical Therapy
• Jennifer L Teasley
• Telemedicine Services of Mississippi
• Regan Layne Temple, FNP-C
• Jessica Harris Templeton, FNP-C
• Tyler Tepfenhart, DO
• Teresa Ann Ceaser

• Acute Care Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Acute Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.