Joseph C Archer

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

JOSEPH C ARCHER

Doing business as

Chris Archer LLC

Practice address

315 N Washington Ave Ste 165
Cookeville, TN 38501-2623

Phone

(931) 526-1604

NPI assigned

Dec 5, 2018

Last updated

Dec 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nikki Ortega

Title

Credentialing

Phone

(602) 277-6277

Specialties & licenses 1

Addresses

Other names 1

• Chris Archer LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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.

• Joseph C Archer, ANP C

  • Nurse Practitioner
  • Cookeville, TN
  • NPI 1033105713
  Medicare reassignment NPD

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1760953590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 ROBERSON CEMETERY RD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385067030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE STE 165",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012623",
            "telephone_number": "931-526-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH C ARCHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "602-277-6277"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chris Archer LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chris Archer LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Yvonne Jones, PHARM D
• Rebecca Jones, APN
• Terrell E Jones, D.M.D.
• Charles Edward Jordan III, MD
• Chase Jordan, PT
• Joyce Healthcare
• Karen F Joyce, APN
• Christopher Juels, DPM
• Callie Grace Julian, RBT
• Just Breathe Oxygen & Medical Equipment

• Nurse Practitioner in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.