West Side Wellness PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1994 Issued in TN

Legal business name

WEST SIDE WELLNESS PLLC

Practice address

9957 Kingston Pike
Ste. 105
Knoxville, TN 37922-6908

Phone

(865) 862-4575

Fax

(865) 862-4574

NPI assigned

Jul 8, 2015

Organization subpart

No

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

Authorized official

Name

Janet Deese

Title

Owner

Phone

(865) 862-4575

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1831572809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9957 KINGSTON PIKE",
            "address_2": "STE. 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226908",
            "telephone_number": "865-862-4575",
            "fax_number": "865-862-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9957 KINGSTON PIKE",
            "address_2": "STE. 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226908",
            "telephone_number": "865-862-4575",
            "fax_number": "865-862-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "DEESE",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-862-4575"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "1994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Knoxville Heart, P.C.
• West Knoxville Medical P.L.L.C.
• West Knoxville Neurological Associate
• West Side Health PLLC
• West Side Medical Clinic
• West Valley Endodontics, PLLC
• Angela Marian West, LCSW
• Bryan Allen West, M.D.
• Carrie Elizabeth West, PHARMD
• Charles West Jr., LMT

• Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.