Organization Active NPI

Cumberland View Clinic LLC

  • Adult Health Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1639340680
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
CUMBERLAND VIEW CLINIC LLC
Practice address
1749 Highway 48
Clarksville, TN 37040-7427
Phone
(931) 552-0752
Fax
(931) 552-0753
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Melinda Phillips Freeman, APN
Title
Owner
Phone
(931) 552-0752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

1749 Highway 48
Clarksville, TN 37040-7427

Mailing address

1749 Highway 48
Clarksville, TN 37040-7427
Phone (931) 552-0752

Other identifiers 1

IdentifierTypeStateIssuer
1503983MedicaidTN

National Provider Directory

National Provider Directory

Locations

30 Crossland Ave
Ste 106
Clarksville, TN 37040
Phone (615) 838-6682

1749 Highway 48
Clarksville, TN 37040
Phone (931) 552-0752

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1639340680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 HIGHWAY 48",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370407427",
            "telephone_number": "931-552-0752",
            "fax_number": "931-552-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 HIGHWAY 48",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370407427",
            "telephone_number": "931-552-0752",
            "fax_number": "931-552-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND VIEW CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS FREEMAN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-552-0752",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1503983",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.