Xanadu Healthcare, LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

XANADU HEALTHCARE, LLC

Practice address

2320 Dalebrook CT
Nashville, TN 37206-1338

Phone

(423) 620-0575

NPI assigned

Jan 14, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer W Brooks, PA-CNPI 1477912087

Title

PA/Owner

Phone

(423) 620-0575

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jennifer Brooks, PA

  • Medical Physician Assistant
  • Nashville, TN
  • NPI 1477912087
  NPD (past) Authorized official

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1972077840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 DALEBROOK CT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372061338",
            "telephone_number": "423-620-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 DALEBROOK CT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372061338",
            "telephone_number": "423-620-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XANADU HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PA/OWNER",
        "authorized_official_telephone_number": "423-620-0575",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake T Wysiadlowski
• Allie Rose Wysong, APRN
• Thomas Wywrot, COTA/L
• X Ray Services Inc
• X Ray Services, Inc.
• David Xiao, MD
• Teresa Xiao, MD
• Maria Xie, MD
• Christopher Xin, MD
• Eva Qi Xiong, D.D.S.

• Medical Physician Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.