Organization Active NPI

Hope Healthcare of West Tennessee

  • Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1811266398
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
HOPE HEALTHCARE OF WEST TENNESSEE
Practice address
21 Security Dr
Jackson, TN 38305-3626
Phone
(731) 661-9163
Fax
(731) 664-9916
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Mrs. Lisa Sterling
Title
Owner
Phone
(731) 661-9163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

21 Security Dr
Jackson, TN 38305-3626

Mailing address

21 Security Dr
Jackson, TN 38305-3626
Phone (731) 661-9163

Other identifiers 1

IdentifierTypeStateIssuer
44D2021554OtherTNCLIA ID NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1811266398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SECURITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053626",
            "telephone_number": "731-661-9163",
            "fax_number": "731-664-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SECURITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053626",
            "telephone_number": "731-661-9163",
            "fax_number": "731-664-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HEALTHCARE OF WEST TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-661-9163",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "44D2021554",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.