Organization Active NPI

Cedars Healthcare LLC

  • Health Service Clinic/Center
  • Jefferson City, TN
National Provider Identifier
1942520713
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
APN7024 Issued in TN
Legal business name
CEDARS HEALTHCARE LLC
Practice address
1004 N Highway 92
Suite C
Jefferson City, TN 37760-3687
Phone
(865) 475-6100
Fax
(865) 475-6106
NPI assigned
Jun 3, 2010
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Mrs. Barbara J Smith, MSN, RN, FNP-BCNPI 1033119557
Title
Owner
Phone
(865) 803-5717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X RN0101110 TN
Health Service Clinic/Center 261QH0100X APN7024 TN Primary

Addresses

Primary practice location

1004 N Highway 92
Suite C
Jefferson City, TN 37760-3687

Mailing address

PO Box 415
New Market, TN 37820-0415
Phone (865) 475-6100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1942520713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415",
            "city": "NEW MARKET",
            "state": "TN",
            "postal_code": "378200415",
            "telephone_number": "865-475-6100",
            "fax_number": "865-475-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 N HIGHWAY 92",
            "address_2": "SUITE C",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377603687",
            "telephone_number": "865-475-6100",
            "fax_number": "865-475-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-803-5717",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, RN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TN",
            "license": "RN0101110",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TN",
            "license": "APN7024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.