Heart of Tennessee Wellness Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

24607 Issued in TN

Legal business name

HEART OF TENNESSEE WELLNESS INC.

Practice address

745 S Church St
Suite a 130
Murfreesboro, TN 37130-4984

Phone

(931) 735-6300

Fax

(931) 735-6302

NPI assigned

Oct 11, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Tina C Gresham, M.D.

Title

Founder/Medical Advisor

Phone

(931) 735-6300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1710314513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 S CHURCH ST",
            "address_2": "SUITE A 130",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304984",
            "telephone_number": "931-735-6300",
            "fax_number": "931-735-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 S CHURCH ST",
            "address_2": "SUITE A 130",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304984",
            "telephone_number": "931-735-6300",
            "fax_number": "931-735-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF TENNESSEE WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FOUNDER/MEDICAL ADVISOR",
        "authorized_official_telephone_number": "931-735-6300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "24607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.