Clinic for Productive Living, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APN11916 Issued in TN

Legal business name

CLINIC FOR PRODUCTIVE LIVING, LLC

Practice address

9217 Park West Blvd
Suite E1
Knoxville, TN 37923-4404

Phone

(865) 394-9337

Fax

(865) 394-9336

NPI assigned

Oct 15, 2012

Organization subpart

No

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

Authorized official

Name

Edward C Roland

Title

Owner

Phone

(865) 394-9337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1598017576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 PARK WEST BLVD",
            "address_2": "SUITE E1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234404",
            "telephone_number": "865-394-9337",
            "fax_number": "865-394-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 PARK WEST BLVD",
            "address_2": "SUITE E1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234404",
            "telephone_number": "865-394-9337",
            "fax_number": "865-394-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC FOR PRODUCTIVE LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-394-9337"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN11916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Marie Clinch, MD
• Kylie Ruth Cline, PA-C
• Madeline Cline
• Nicholas Bruce Cline
• Sloane Nicole Cline
• Clinical Cytogenetic Services
• Kari Leigh Clinton
• Laura Nash Cloar, MSN, RN, FNP-BC
• Elise Clodfelter, RBT
• Closer Walk Reentry & Advocacy Program Inc.

• Adult Health Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.