Organization Active NPI

Millington Family Medicine, Inc.

  • Family Nurse Practitioner
  • Millington, TN
National Provider Identifier
1700227436
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MILLINGTON FAMILY MEDICINE, INC.
Practice address
8510 Wilkinsville Rd
Suite 104
Millington, TN 38053-1537
Phone
(901) 872-3114
Fax
(901) 872-3116
NPI assigned
Jul 10, 2013
Last updated
Jul 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Rosemary Jacobs, MSN, APN-FNP-BCNPI 1407026446
Title
Owner
Phone
(901) 872-3114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

8510 Wilkinsville Rd
Suite 104
Millington, TN 38053-1537

Mailing address

8510 Wilkinsville Rd
Suite 104
Millington, TN 38053-1537
Phone (901) 872-3114

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1700227436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 WILKINSVILLE RD",
            "address_2": "SUITE 104",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531537",
            "telephone_number": "901-872-3114",
            "fax_number": "901-872-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 WILKINSVILLE RD",
            "address_2": "SUITE 104",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531537",
            "telephone_number": "901-872-3114",
            "fax_number": "901-872-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLINGTON FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-872-3114",
        "authorized_official_credential": "MSN, APN-FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.