WESTSIDE FAMILY MEDICAL
NPI 1144742842
Nurse Practitioner - Family in Tullahoma, TN

NPI Status: Active since July 13, 2017

Contact Information

104 WESTSIDE DR
TULLAHOMA, TN
ZIP 37388
Phone: (931) 636-3176

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  • Organization
  • Nurse Practitioner
  • Family

About WESTSIDE FAMILY MEDICAL

This page provides the complete NPI Profile along with additional information for Westside Family Medical, a provider established in Tullahoma, Tennessee operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1144742842 assigned on July 2017. The practitioner's primary taxonomy code is 363LF0000X with license number 20413 (TN). The provider is registered as an organization and their NPI record was last updated 8 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 Leslie Lynette Myers Np (Nurse Practitioner)

NPI
1144742842
Provider Name
WESTSIDE FAMILY MEDICAL
Entity Type
Organization
Location Address
104 WESTSIDE DR TULLAHOMA, TN 37388
Location Phone
(931) 636-3176
Mailing Address
160 CRESTVIEW DR WINCHESTER, TN 37398
Mailing Phone
(931) 636-3176
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2017
Last Update Date
07-13-2017
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A nurse practitioner (NP) like Westside Family Medical is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
20413
License State
TN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

19352 (TN)

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

LESLIE LYNETTE MYERS NP

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(931) 636-3176

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1053780478MEDICAID (05)TN 
1255720421MEDICAID (05)TN 

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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.
1144742842
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2184144488
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 4 + 4 + 4 + 8 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1144742842 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144742842, enumerated in the NPI registry as an "organization" on July 13, 2017

The provider is located at 104 Westside Dr Tullahoma, Tn 37388 and the phone number is (931) 636-3176

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 13, 2017. 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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