| Family Care Wellness Llc | |
|
207 Oak Park Mcminnville TN 37110-1336 | |
| (931) 474-4700 | |
| (931) 474-4701 |
| Full Name | Family Care Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 207 Oak Park, Mcminnville, Tennessee |
| Authorized Official Name and Position | Whitney S Blankenship (APN/OWNER) |
| Authorized Official Contact | 9314744000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Wellness Llc 207 Oak Park Mcminnville TN 37110-1336 Ph: (931) 474-4000 | Family Care Wellness Llc 207 Oak Park Mcminnville TN 37110-1336 Ph: (931) 474-4700 |
| NPI Number | 1588325310 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/13/2024 |
| Medicare PECOS PAC ID | 2365820586 |
|---|---|
| Medicare Enrollment ID | O20220531002173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588325310 | NPI | - | NPPES |
| 104100000X | Medicaid | TN | |
| 261QR13OOX | Medicaid | TN | |
| 363L00000X | Medicaid | TN |
| Provider Name | Theresa H Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699785709 PECOS PAC ID: 3870543960 Enrollment ID: I20050126000831 |
| Provider Name | Charlotte B Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972519296 PECOS PAC ID: 4789688987 Enrollment ID: I20060830000473 |
| Provider Name | Sarah E Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326178476 PECOS PAC ID: 8820129109 Enrollment ID: I20100630000541 |
| Provider Name | Julie E Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386980795 PECOS PAC ID: 1951547991 Enrollment ID: I20130418000301 |
| Provider Name | Whitney S Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992045249 PECOS PAC ID: 4981841830 Enrollment ID: I20130513000411 |
| Provider Name | Elizabeth A Wilder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649603135 PECOS PAC ID: 0749413714 Enrollment ID: I20140428000484 |
| Provider Name | Heather Stovall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235506460 PECOS PAC ID: 7315249570 Enrollment ID: I20160105000850 |
| Provider Name | Mary Beth Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831642776 PECOS PAC ID: 7911295704 Enrollment ID: I20161011001507 |
| Provider Name | Jennifer A Strunk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245500800 PECOS PAC ID: 8527222850 Enrollment ID: I20170130000821 |
| Provider Name | Heather Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336792621 PECOS PAC ID: 6709219298 Enrollment ID: I20191216000463 |
| Provider Name | April Hibdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780157560 PECOS PAC ID: 0244669588 Enrollment ID: I20200407002728 |
| Provider Name | Alyse Woodlee |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619378981 PECOS PAC ID: 4385069160 Enrollment ID: I20200811001156 |
| Provider Name | Cindy K Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639120355 PECOS PAC ID: 5193123230 Enrollment ID: I20211005000231 |
| Provider Name | Adry Ryan Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346915410 PECOS PAC ID: 5698173276 Enrollment ID: I20211012002901 |
| Provider Name | Allison M Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336812213 PECOS PAC ID: 0547668899 Enrollment ID: I20211018001400 |
| Provider Name | Tara Casper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659093078 PECOS PAC ID: 6901275445 Enrollment ID: I20221206001018 |
| Provider Name | Elizabeth Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699471771 PECOS PAC ID: 9830563758 Enrollment ID: I20230316000370 |
| Provider Name | Amy L Mcgregor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790359289 PECOS PAC ID: 0648631598 Enrollment ID: I20230725003527 |
| Provider Name | Lacey N Slatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477857084 PECOS PAC ID: 5698117950 Enrollment ID: I20240531002385 |
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