The Fountain Center for Preventative Medicine, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THE FOUNTAIN CENTER FOR PREVENTATIVE MEDICINE, LLC

Practice address

110 Glancy St # 107
Goodlettsville, TN 37072-2326

Phone

(615) 420-6884

NPI assigned

Apr 26, 2010

Organization subpart

No

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

Authorized official

Name

Angelina Johnson, NP

Title

Nurse Practitioner/Member

Phone

(615) 420-6884

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Winston Henry Griner Sr., MD

  • Addiction Medicine (Family Medicine) Physician
  • Nashville, TN
  • NPI 1922136449
  NPD

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1821315219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GLANCY ST # 107",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722326",
            "telephone_number": "615-420-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GLANCY ST # 107",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722326",
            "telephone_number": "615-420-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOUNTAIN CENTER FOR PREVENTATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/MEMBER",
        "authorized_official_telephone_number": "615-420-6884",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tennessee Relief Center, LLC
• Tennessee Voices for Children
• Cynthia Strother Terry, APRN
• Farid Abdulrehman Thanawalla, M.D.
• The Eye Clinic of Goodlettsville, PC
• The Grief Center
• The Project for Independence, Inc.
• The Wren Within
• Faith Thiongo
• Dakota Thomas

• Primary Care Clinic/Center in Goodlettsville, TN
• Providers in Goodlettsville, 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 Apr 26, 2010; 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.