Organization Active NPI

Women's Complete Healthcare, PLLC

  • Medical Specialty Clinic/Center
  • Pulaski, TN
National Provider Identifier
1760886287
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
018068 Issued in TN
Legal business name
WOMEN'S COMPLETE HEALTHCARE, PLLC
Practice address
1422 W College St
Pulaski, TN 38478-5202
Phone
(864) 426-5323
NPI assigned
Oct 13, 2014
Last updated
Oct 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Dr. Robert Brian Lutz, MD
Title
President/Owner
Phone
(931) 347-7076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 018068 TN Primary

Addresses

Primary practice location

1422 W College St
Pulaski, TN 38478-5202

Mailing address

1422 W College St
Pulaski, TN 38478-5202
Phone (864) 426-5323

National Provider Directory

National Provider Directory

Locations

1422 W College St
Pulaski, TN 38478
Phone (931) 347-7076

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1760886287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 W COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384785202",
            "telephone_number": "864-426-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 W COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384785202",
            "telephone_number": "864-426-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S COMPLETE HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "931-347-7076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "018068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.