Hometown Medical Services

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

TN102421 Issued in TN

Legal business name

HOMETOWN MEDICAL SERVICES

Practice address

3909 Covington Pike
Memphis, TN 38135-2281

Phone

(901) 476-9996

Fax

(901) 476-9986

NPI assigned

Jan 30, 2006

Last updated

Jan 6, 2016By 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

Mr. Alan Brian Hopkins, ACNP

Title

Owner

Phone

(901) 476-9996

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1790756484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "MASON",
            "state": "TN",
            "postal_code": "380490305",
            "telephone_number": "901-476-9996",
            "fax_number": "901-476-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381352281",
            "telephone_number": "901-476-9996",
            "fax_number": "901-476-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-476-9996",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "TN102421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300133047",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.