Tullahoma Chiropractic and Medical Center

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

14261 Issued in TN

Legal business name

TULLAHOMA CHIROPRACTIC AND MEDICAL CENTER

Practice address

1940 N Jackson St
Suite 110
Tullahoma, TN 37388-8254

Phone

(931) 393-2401

Fax

(931) 393-2402

NPI assigned

Mar 4, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Joseph R Kanan, D.C.

Title

Owner

Phone

(931) 393-2401

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1659694685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 N JACKSON ST",
            "address_2": "SUITE 110",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888254",
            "telephone_number": "931-393-2401",
            "fax_number": "931-393-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 N JACKSON ST",
            "address_2": "SUITE 110",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888254",
            "telephone_number": "931-393-2401",
            "fax_number": "931-393-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULLAHOMA CHIROPRACTIC AND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "KANAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-393-2401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2217",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "14261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Ann Troupe, R.N.
• Donald Eugene Trummel, MD PHD
• Donald V Tucker, MD
• Rebecca Tucker, SLP-CCC
• Tullahoma Advanced Care Inc.
• Tullahoma City Schools
• Tullahoma Dental Group, PLLC
• Tullahoma Dermatology PC
• Tullahoma Drug Store Inc
• Tullahoma Family Dentistry PLLC

• Nurse Practitioner in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.