Organization Active NPI

Highlands Healthcare, PLLC

  • Family Medicine Physician
  • Cookeville, TN
National Provider Identifier
1659795193
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HIGHLANDS HEALTHCARE, PLLC
Practice address
315 N Washington Ave
Suite 175
Cookeville, TN 38501-2629
Phone
(931) 520-6500
Fax
(931) 528-1488
NPI assigned
Feb 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Kimber J Logan, PA
Title
Owner
Phone
(931) 528-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

315 N Washington Ave
Suite 175
Cookeville, TN 38501-2629

Mailing address

315 N Washington Ave
Suite 175
Cookeville, TN 38501-2629
Phone (931) 520-6500

National Provider Directory

National Provider Directory

Locations

315 N Washington Ave
Ste 175
Cookeville, TN 38501
Phone (931) 526-1604

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1659795193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE",
            "address_2": "SUITE 175",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012629",
            "telephone_number": "931-520-6500",
            "fax_number": "931-528-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE",
            "address_2": "SUITE 175",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012629",
            "telephone_number": "931-520-6500",
            "fax_number": "931-528-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-528-6500",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.