Sue Ellen Close

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

489 Issued in TN

Practice address

1653 Mooresville Hwy
Lewisburg, TN 37091-1413

Phone

(931) 359-4506

Fax

(931) 359-8139

NPI assigned

Oct 31, 2018

Last updated

Oct 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1679040232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 MOORESVILLE HWY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370911413",
            "telephone_number": "931-359-4506",
            "fax_number": "931-359-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 MOORESVILLE HWY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370911413",
            "telephone_number": "931-359-4506",
            "fax_number": "931-359-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSE",
        "first_name": "SUE",
        "middle_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Paul Chester, D.C.
• John Sherman Childers Jr.
• Kelly Chitty, SLP-CCC
• Carolyn Ann Clark, BS
• Laura Elizabeth Cline, LPN
• Latisha Carol Colburn, RN
• Vicki L Coleman
• Community Development Center (Child Development Center)
• Adam Walton Cook, D.D.S.
• Cook's Family Dentistry

• Physical Medicine & Rehabilitation Physician in Lewisburg, TN
• Providers in Lewisburg, TN by specialty
• Physical Medicine & Rehabilitation Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.