Medvest Urgent Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MEDVEST URGENT CARE LLC

Practice address

5545 Little Debbie Parkway
Ooltewah, TN 37363

Phone

(423) 238-5020

Fax

(423) 238-5021

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Mary Jaudon Frey

Title

Administrator

Phone

(205) 969-9203

Specialties & licenses 1

Addresses

Other names 1

• Medsouth Urgent Care Doing business as

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1871864447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 LITTLE DEBBIE PARKWAY",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "37363",
            "telephone_number": "423-238-5020",
            "fax_number": "423-238-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 LITTLE DEBBIE PARKWAY",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "37363",
            "telephone_number": "423-238-5020",
            "fax_number": "423-238-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDVEST URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JAUDON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-969-9203"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medsouth Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Britney McClain
• Jason Chad McDaniel, LPC-MHSP
• Mary Frances McDaniel, NP-C
• Roderick K McKenzie, D.D.S.
• Katherine Susanna Medley, DPT
• Jodi Nicole Mehlenbacher, APN
• Scott Xavier Meisel, DO
• Mellert Family Chiropractic Center Inc.
• Lorri Merchant, LCSW
• Melissa Hobbs Miles, REGISTERED NURSE

• Family Nurse Practitioner in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.