NPIMap

Organization Active NPI

Pophealthcare Medical Services of Mi, PC

  • Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1780161869
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
POPHEALTHCARE MEDICAL SERVICES OF MI, PC
Practice address
113 Seaboard LN Ste 200B
Franklin, TN 37067-8282
Phone
(615) 721-7020
NPI assigned
Jul 23, 2018
Organization subpart
Yes
Parent organization
POPHEALTHCARE MEDICAL SERVICES OF MI, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Melinda Henderson, MD
Title
Chief Medical Director
Phone
(615) 585-1181

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

113 Seaboard LN Ste 200B
Franklin, TN 37067-8282

Mailing address

113 Seaboard LN Ste 200B
Franklin, TN 37067-8282
Phone (615) 721-7020

Other names 1

  • POPHEALTHCARE MEDICAL SERVICES OF MN, PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pophealthcare Medical Services of Mi PC2 organizations share this tax ID, including this one
Part of
Pophealthcare Medical Services of Mi PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1780161869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SEABOARD LN STE 200B",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678282",
            "telephone_number": "615-721-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SEABOARD LN STE 200B",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678282",
            "telephone_number": "615-721-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPHEALTHCARE MEDICAL SERVICES OF MI, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POPHEALTHCARE MEDICAL SERVICES OF MI, PC",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-585-1181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POPHEALTHCARE MEDICAL SERVICES OF MN, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "POPHEALTHCARE MEDICAL SERVICES OF MN, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.