NPIMap

Organization Active NPI

Carehere Clinic-Uta

Doing business as Carehere LLC

  • Family Medicine Physician
  • Brentwood, TN
National Provider Identifier
1992162994
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8431757-1205 Issued in UT
Legal business name
CAREHERE CLINIC-UTA
Doing business as
Carehere LLC
Practice address
5141 Virginia Way Ste 350
Brentwood, TN 37027-2319
Phone
(615) 221-5901
NPI assigned
Jan 21, 2016
Last updated
Jan 21, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CAREHERE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Mr. Ernie Clevenger
Title
President
Phone
(615) 221-5901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8431757-1205 UT Primary

Addresses

Primary practice location

5141 Virginia Way Ste 350
Brentwood, TN 37027-2319

Mailing address

5141 Virginia Way Ste 350
Brentwood, TN 37027-2319
Phone (615) 221-5901

Other names 1

  • CAREHERE LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carehere40 organizations share this tax ID, including this one
Part of
Carehere

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1992162994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 VIRGINIA WAY STE 350",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272319",
            "telephone_number": "615-221-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 VIRGINIA WAY STE 350",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272319",
            "telephone_number": "615-221-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREHERE CLINIC-UTA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREHERE LLC",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "CLEVENGER",
        "authorized_official_first_name": "ERNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-221-5901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "8431757-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAREHERE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

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