West Tennessee Women'S Health Center

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WEST TENNESSEE WOMEN'S HEALTH CENTER

Practice address

2555 N Washington Ave
Brownsville, TN 38012-1610

Phone

(731) 779-0788

Fax

(731) 779-0971

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Kristie Wilburn-Wren, M.D.NPI 1295738615

Title

Owner

Phone

(731) 779-0788

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristie R Wilburn Wren, MD

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1295738615
  NPD (past) Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1629094461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1798",
            "address_2": "DEPT. 07-053",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381011798",
            "telephone_number": "731-779-0788",
            "fax_number": "731-779-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 N WASHINGTON AVE",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380121610",
            "telephone_number": "731-779-0788",
            "fax_number": "731-779-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TENNESSEE WOMEN'S HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "WILBURN-WREN",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-779-0788",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3730009",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP
• Walgreen Co.
• Ana Waller
• Vanity Wardlow
• Jewel Harvey Warren, RN
• Sharonda T White
• Kelly Wiggins, FNP-BC
• Martha Williams, PHARM. D
• Alesheia Worthy, PHARMD

• Obstetrics & Gynecology Physician in Brownsville, TN
• Providers in Brownsville, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.