Organization Active NPI

Whetstone Valley Stables LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Columbia, TN
National Provider Identifier
1861875908
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
14516 Issued in TN
Legal business name
WHETSTONE VALLEY STABLES LLC
Practice address
3368 Murphy LN
Columbia, TN 38401-5741
Phone
(931) 215-6863
Fax
(931) 381-2896
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Mrs. Penny Jo Shoup, RN EQUINE SPECIALIST
Title
Owner
Phone
(931) 215-6863

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 14516 TN
Adolescent and Children Mental Health Clinic/Center 261QM0855X 14516 TN Primary

Addresses

Primary practice location

3368 Murphy LN
Columbia, TN 38401-5741

Mailing address

3370 Murphy LN
Columbia, TN 38401-5741
Phone (931) 215-6863

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1861875908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 MURPHY LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015741",
            "telephone_number": "931-215-6863",
            "fax_number": "931-381-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 MURPHY LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015741",
            "telephone_number": "931-215-6863",
            "fax_number": "931-381-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHETSTONE VALLEY STABLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "SHOUP",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-215-6863",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN EQUINE SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TN",
            "license": "14516",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TN",
            "license": "14516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.