Organization Active NPI

Friends and Family Healthcare, LLC.

  • Family Nurse Practitioner
  • Dickson, TN
National Provider Identifier
1881820892
Registry record updated Mar 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13099 Issued in TN
Legal business name
FRIENDS AND FAMILY HEALTHCARE, LLC.
Practice address
118 Hwy 70 E
Suite 6
Dickson, TN 37055-7039
Phone
(615) 810-8440
Fax
(615) 810-8441
NPI assigned
Jun 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2010

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

Authorized official

Name
Mr. Bobby P Aguayo, FNP
Title
Managing Member
Phone
(615) 810-8440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 13099 TN Primary

Addresses

Primary practice location

118 Hwy 70 E
Suite 6
Dickson, TN 37055-7039

Mailing address

118 Hwy 70 E
Suite 6
Dickson, TN 37055-7039
Phone (615) 810-8440

Other identifiers 1

IdentifierTypeStateIssuer
1514540MedicaidTN

National Provider Directory

National Provider Directory

Locations

118 Highway 70 E
Ste 6
Dickson, TN 37055
Phone (615) 810-8440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269129600000",
    "number": "1881820892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HWY 70 E",
            "address_2": "SUITE 6",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370557039",
            "telephone_number": "615-810-8440",
            "fax_number": "615-810-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 HWY 70 E",
            "address_2": "SUITE 6",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370557039",
            "telephone_number": "615-810-8440",
            "fax_number": "615-810-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS AND FAMILY HEALTHCARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2010-03-21",
        "status": "A",
        "authorized_official_last_name": "AGUAYO",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "615-810-8440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514540",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2010; 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.