| NPI | 1205318557 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2018-09-04 |
| Last Updated | 2018-09-04 |
| Authorized Official | Tammy Wingo-Salmond Provider/Owner Phone: 4232843157 |
| Mailing Address | 276b James Asbury Dr Nw Cleveland, TN 37312-2984 United States Phone: (423) 464-5776 | Fax: (423) 464-5665 📍 View Map |
| Primary Practice Address | 276b James Asbury Dr Nw Cleveland, TN 37312-2984 United States Phone: (423) 464-5776 | Fax: (423) 464-5665 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LF0000X – Nurse Practitioner, Family | - | - |
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About NPI 1205318557
Banyan Family Night Clinic, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1205318557. The primary specialty listed is Nurse Practitioner, Family. The organization is located in Cleveland, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-09-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205318557?
NPI 1205318557 belongs to Banyan Family Night Clinic, Llc, a Nurse Practitioner, Family in Cleveland, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205318557 active?
The current status of NPI 1205318557 in the NPPES registry is Active. The record was last updated on 2018-09-04.
What specialty is NPI 1205318557?
NPI 1205318557 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205318557?
You can verify NPI 1205318557 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205318557?
The primary practice address on file for NPI 1205318557 is 276b James Asbury Dr Nw, Cleveland, TN 37312-2984. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205318557 issued?
NPI 1205318557 was first issued (enumerated) on 2018-09-04. The NPPES record was last updated on 2018-09-04.
Practice Location Map
Banyan Family Night Clinic, Llc is located at 276b James Asbury Dr Nw, Cleveland, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Banyan Family Night Clinic, Llc. All records sourced from the CMS NPPES registry.