Organization Active NPI

Fred Nordquist, MD, PC

Doing business as The Village Primary Care

  • Internal Medicine Physician
  • Pleasant View, TN
National Provider Identifier
1699031377
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38308 Issued in TN
Legal business name
FRED NORDQUIST, MD, PC
Doing business as
The Village Primary Care
The Village Primary Care and Pharmacy
Practice address
6294 Highway 41a
Pleasant View, TN 37146-8175
Phone
(615) 746-8872
Fax
(615) 746-8871
NPI assigned
Apr 6, 2012
Last updated
Jan 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Mrs. Angela D Nordquist, APNNPI 1720459241
Title
Office Manager
Phone
(615) 746-8872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38308 TN Primary

Addresses

Primary practice location

6294 Highway 41a
Pleasant View, TN 37146-8175

Mailing address

6294 Highway 41a
Pleasant View, TN 37146-8175
Phone (615) 746-8872

Other names 2

  • The Village Primary Care Doing business as
  • The Village Primary Care and Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070222000290 TN Part B Supplier - Clinic/Group Practice 0143322164 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Pleasant View, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2040274The Village Primary Care6294 Highway 41a, Pleasant View, TN 37146Certificate of waiverApr 25, 2028

National Provider Directory

National Provider Directory

Locations

1020 Industrial Dr
Ste 120
Pleasant View, TN 37146
Phone (615) 746-2142

274 Centre St
Ste 100
Pleasant View, TN 37146
Phone (615) 746-8872

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1699031377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6294 HIGHWAY 41A",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371468175",
            "telephone_number": "615-746-8872",
            "fax_number": "615-746-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6294 HIGHWAY 41A",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371468175",
            "telephone_number": "615-746-8872",
            "fax_number": "615-746-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED NORDQUIST, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "NORDQUIST",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-746-8872",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "38308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Village Primary Care and Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant View, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.