NPIMap

Organization Active NPI

Front Page Fame LLC

Doing business as Fundamental Health Solutions

  • Community/Behavioral Health Agency
  • Jackson, TN
National Provider Identifier
1588022727
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FRONT PAGE FAME LLC
Doing business as
Fundamental Health Solutions
Practice address
115 Directors Row
Jackson, TN 38305-2316
Phone
(731) 203-0708
NPI assigned
Feb 2, 2016
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Mrs. Kimberly Lovelady, MPH, MSWNPI 1194370320
Title
Owner/Co-Founder
Phone
(731) 203-0708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU
Primary Care Clinic/Center 261QP2300X NU
Community Health Worker 172V00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary
Health Educator 174H00000X NU

Addresses

Primary practice location

115 Directors Row
Jackson, TN 38305-2316

Mailing address

541 Wiley Parker Rd
Jackson, TN 38305-2226
Phone (731) 203-0708

Other names 1

  • Fundamental Health Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200603002736 TN MDPP Supplier - in-Person MDPP Supplier 0840611661 Practice locations: Jackson, TN
O20231102000461 TN Part B Supplier - Clinic/Group Practice 0840611661 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, TN

National Provider Directory

National Provider Directory

Locations

115 Directors Row
Jackson, TN 38305
Phone (731) 203-0708

541 Wiley Parker Rd
Jackson, TN 38305
Phone (731) 203-0708

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1588022727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 WILEY PARKER RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052226",
            "telephone_number": "731-203-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 DIRECTORS ROW",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052316",
            "telephone_number": "731-203-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT PAGE FAME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "LOVELADY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/CO-FOUNDER",
        "authorized_official_telephone_number": "731-203-0708",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPH, MSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fundamental Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.