Organization Active NPI

Cumberland Back Pain Clinic

Doing business as The Pain Center of Hendersonville

  • Adult Health Nurse Practitioner
  • Hendersonville, NC
National Provider Identifier
1871791335
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
CUMBERLAND BACK PAIN CLINIC
Doing business as
The Pain Center of Hendersonville
Practice address
120 Chadwick Square CT Ste a
Hendersonville, NC 28739-3200
Phone
(615) 591-2754
Fax
(615) 591-2755
NPI assigned
Jul 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Annette Dreifke
Title
Billing Manager
Phone
(615) 591-2754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NU Primary

Addresses

Primary practice location

120 Chadwick Square CT Ste a
Hendersonville, NC 28739-3200

Mailing address

120 Chadwick Square CT Ste a
Hendersonville, NC 28739-3200
Phone (615) 591-2754

Other names 1

  • The Pain Center of Hendersonville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cumberland Back Pain Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871791335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHADWICK SQUARE CT STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287393200",
            "telephone_number": "615-591-2754",
            "fax_number": "615-591-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CHADWICK SQUARE CT STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287393200",
            "telephone_number": "615-591-2754",
            "fax_number": "615-591-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND BACK PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DREIFKE",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "615-591-2754"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pain Center of Hendersonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.