Boerema and Thompson Compassionate Healthcare LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

BOEREMA AND THOMPSON COMPASSIONATE HEALTHCARE LLC

Practice address

2700 Westside Dr NW Ste 103
Cleveland, TN 37312-3699

Phone

(423) 339-2320

Fax

(423) 339-2321

NPI assigned

Feb 26, 2019

Last updated

Feb 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Defriece

Title

Billing Manager/Credentialing

Phone

(423) 339-2320

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1659838647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTSIDE DR NW STE 103",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123699",
            "telephone_number": "423-339-2320",
            "fax_number": "423-339-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTSIDE DR NW STE 103",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123699",
            "telephone_number": "423-339-2320",
            "fax_number": "423-339-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOEREMA AND THOMPSON COMPASSIONATE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "DEFRIECE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING MANAGER/CREDENTIALING",
        "authorized_official_telephone_number": "423-339-2320"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collette Bliss
• Summer Edainah Blount, M.D.
• Blue Ridge Gastroenterology, PC
• Blue Ridge Pulmonary Medicine, PC
• Andrea Boddeker
• Paul Daniel Boerema, M.D.
• Alicia Boggess, MFT-I
• Brooke Denise Booher, APRN, FNP-C
• Tara Denise Borden
• Bettie B Borton, AU.D.

• Adult Medicine Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Adult Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.