Active NPI
Mashburn Family Health, PLLC
- Primary Care Clinic/Center
- Pulaski, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MASHBURN FAMILY HEALTH, PLLC
- Practice address
- 1102 E College St
Pulaski, TN 38478-4519 - Phone
- (931) 300-0534
- NPI assigned
- Sep 15, 2021
- Last updated
- Feb 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven N Mashburn, NP
- Title
- NP/Owner
- Phone
- (931) 371-9500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1102 E College St
Pulaski, TN 38478-4519
Mailing address
1102 E College St
Pulaski, TN 38478-4519
Phone (931) 371-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2250374 | Mashburn Family Health | Certificate of waiver | Jan 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
1102 E College St
Pulaski, TN 38478
Phone (931) 300-0534
Interoperability endpoints
- https://api.platform.athenahealth.com/24818/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Lawrenceburg, TN
- NPI 1942373717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1861162430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 E COLLEGE ST",
"city": "PULASKI",
"state": "TN",
"postal_code": "384784519",
"telephone_number": "931-371-9500",
"fax_number": "629-200-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 E COLLEGE ST",
"city": "PULASKI",
"state": "TN",
"postal_code": "384784519",
"telephone_number": "931-300-0534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASHBURN FAMILY HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-15",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A",
"authorized_official_last_name": "MASHBURN",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "NP/OWNER",
"authorized_official_telephone_number": "931-371-9500",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pulaski, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.