CVS Caremark Minute Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0000020026 Issued in TN

Legal business name

CVS CAREMARK MINUTE CLINIC

Practice address

2812 Rippavilla Way
Spring Hill, TN 37174-7114

Phone

(931) 797-3329

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

Holly Dumaine-Picard

Title

Credentialing Coordinator

Phone

(401) 770-9323

Specialties & licenses 1

Addresses

Tax ID family

CVS Caremark Corporation63 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1962868000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 COLUMBIA PIKE",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371795207",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 RIPPAVILLA WAY",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371747114",
            "telephone_number": "931-797-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS CAREMARK MINUTE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "DUMAINE-PICARD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "401-770-9323"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000020026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Spring Hill, TN
• Providers in Spring Hill, 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 Jan 5, 2016; 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.