Bluegrass Internal Medicine Associates, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

APN8044 Issued in TN

Legal business name

BLUEGRASS INTERNAL MEDICINE ASSOCIATES, PC

Practice address

353 New Shackle Island Rd
Suite 245C
Hendersonville, TN 37075-2379

Phone

(615) 826-2265

Fax

(615) 826-4616

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Dawn West

Title

Office Manager

Phone

(615) 826-2265

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1811911233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 245C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-826-2265",
            "fax_number": "615-826-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 245C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-826-2265",
            "fax_number": "615-826-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS INTERNAL MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-826-2265",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "APN8044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4112769",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blessed Homecare LLC
• Nicholas Phillip Blevens, PHYSICIAN ASSISTANT
• Lillian Skye Bloodworth
• Miagrace Susan Bloom
• Bluegrass Endodontics PLLC
• Bluegrass Legacy Healthcare, PLLC
• Bluegrass Women'S Health Group
• Meghan Blumenthal
• Tia Bo
• Harriett L. Boglin, M.ED

• Primary Care Clinic/Center in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.