NPI Code Detail JSON Logo

1003401233 NPI number — WELLNESS NASHVILLE PLLC

NPI Number: 1003401233
Health Care Provider/Practitioner: WELLNESS NASHVILLE PLLC

Information about “1003401233” NPI (WELLNESS NASHVILLE PLLC) exists in 1003401233 in HTML format HTML  |  1003401233 in plain Text format TXT  |  1003401233 in PDF (Portable Document Format) PDF  |  1003401233 in an XML format XML  formats.

NPI Number : 1003401233 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003401233",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WELLNESS NASHVILLE PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "618 GRASSMERE PARK STE 12A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NASHVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37211-3643",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-815-1754",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "100 COVEY DR STE 309",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRANKLIN",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37067-5663",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-970-7884",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/09/2021",
    "LastUpdateDate": "03/11/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BRAMLET",
    "AuthorizedOfficialFirstName": "JAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "TREASURER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "615-294-1852",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM0850X",
          "TaxonomyName": "Adult Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QR0405X",
          "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QI0500X",
          "TaxonomyName": "Infusion Therapy Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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