Mt. Juliet Family Care & Walk-in Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21959 Issued in TN

Legal business name

MT. JULIET FAMILY CARE & WALK-IN CLINIC, LLC

Practice address

754 N Mount Juliet Rd
Mt Juliet, TN 37122-3950

Phone

(615) 754-2828

Fax

(615) 754-2818

NPI assigned

Feb 1, 2017

Organization subpart

No

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

Authorized official

Name

Miss Cassie M Walden, M.A.

Title

Practice Manager

Phone

(615) 754-2828

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jimmy Wayne Cheeks Jr., NP

  • Family Nurse Practitioner
  • Mount Juliet, TN
  • NPI 1447282611
  NPD

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1922546787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 ATLANTA DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761536",
            "telephone_number": "615-957-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 N MOUNT JULIET RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223950",
            "telephone_number": "615-754-2828",
            "fax_number": "615-754-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. JULIET FAMILY CARE & WALK-IN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "615-754-2828",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mt Juliet Modern Dentistry PC
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• Mt. Juliet Dental Studio PLLC
• Mt. Juliet Endodontics
• Mt. Juliet Family Care and Walk-in Clinic, LLC
• Mt. Juliet Family Dentistry
• Mt. Juliet Health and Wellness, LLC
• Mt. Juliet Health Care
• Mt. Juliet Spine and Pain Management, PLLC

• Family Nurse Practitioner in Mt Juliet, TN
• Providers in Mt Juliet, 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 1, 2017; 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.