BLUESKY HOUSECALLS, LLC
NPI 1073986410
Family Medicine - Geriatric Medicine in Brentwood, TN

NPI Status: Active since November 06, 2015

Contact Information

109 WESTPARK DR
BRENTWOOD, TN
ZIP 37027
Phone: (615) 340-6840
Fax: (615) 600-4804

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  • Organization
  • Family Medicine
  • Geriatric Medicine
  • CLIA Number: 44D2200881
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-16-2026

About BLUESKY HOUSECALLS, LLC

This page provides the complete NPI Profile along with additional information for Bluesky Housecalls, Llc, a primary care provider established in Brentwood, Tennessee operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1073986410 assigned on November 2015. The practitioner's primary taxonomy code is 207QG0300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jacob Wallstedt (Chief Of Business Development)

NPI
1073986410
Provider Name
BLUESKY HOUSECALLS, LLC
Entity Type
Organization
Location Address
109 WESTPARK DR BRENTWOOD, TN 37027
Location Phone
(615) 340-6840
Location Fax
(615) 600-4804
Mailing Address
PO BOX 150979 BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2015
Last Update Date
02-08-2024
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A primary care provider (PCP) like Bluesky Housecalls, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Geriatric Medicine

Taxonomy Code
207QG0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACOB WALLSTEDT

Authorized Official Title
CHIEF OF BUSINESS DEVELOPMENT
Authorized Official Phone
(615) 340-6840

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2200881
Facility Type
Physician Office
Certificate Effective Date
November 17, 2024
Certificate Expiration Date
November 16, 2026
Laboratory Director
DR. BRUCE WALLSTEDT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bluesky Housecalls, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073986410
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431881242
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 8 + 8 + 1 + 2 + 4 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1073986410 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083901805MRS. KATHLEEN MARIE ALLBRITTEN OTR/L
Individual
Occupational Therapist (Pediatrics)109 WESTPARK DR SUITE 105
BRENTWOOD, TN 37027
(615) 376-9633
1902259831 SAVANNAH LYLE COTA/L
Individual
Occupational Therapy Assistant109 WESTPARK DR STE 105
BRENTWOOD, TN 37027
(615) 376-9633
1336413004 ELISHA ANN LAMAR N.P.
Individual
Nurse Practitioner (Women's Health)109 WESTPARK DR
BRENTWOOD, TN 37027
(615) 340-6840
1780106245MR. MATTHEW ABRAM FNP-BC
Individual
Nurse Practitioner (Family)109 WESTPARK DR
BRENTWOOD, TN 37027
(615) 340-6840

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073986410, enumerated in the NPI registry as an "organization" on November 06, 2015

The provider is located at 109 Westpark Dr Brentwood, Tn 37027 and the phone number is (615) 340-6840

This medical organization specializes in Family Medicine with taxonomy code 207QG0300X with a focus in Geriatric Medicine

The provider's CLIA number is 44D2200881 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 06, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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