TLC Family Practice LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TLC FAMILY PRACTICE LLC

Practice address

26317 Highway 119 North
Belfry, KY 41514-7417

Phone

(606) 353-6926

Fax

(606) 353-6928

NPI assigned

Feb 6, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy K. Clay, APRN, BC

Title

Aprn

Phone

(606) 353-6926

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1851663991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 843",
            "city": "BELFRY",
            "state": "KY",
            "postal_code": "415147417",
            "telephone_number": "606-353-6926",
            "fax_number": "606-353-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26317 HIGHWAY 119 NORTH",
            "city": "BELFRY",
            "state": "KY",
            "postal_code": "415147417",
            "telephone_number": "606-353-6926",
            "fax_number": "606-353-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "606-353-6926",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7800824000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101116000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Jodale Scott
• Melissa Lynn Smith
• Crystal Thacker
• Jarrod Thacker, D.C.
• Bethany Faye Thomas
• TPC
• Dianne Angelic Embodo Urot
• Arissa Vanover
• Angela Beth Williamson
• Lynda Williamson, M.ED.

• Primary Care Clinic/Center in Belfry, KY
• Providers in Belfry, KY by specialty
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.