XAI FAMILY MEDICAL CLINIC
NPI 1164759601
Nurse Practitioner - Family in Murfreesboro, TN

NPI Status: Active since November 04, 2009

Contact Information

315 ROBERT ROSE DR
SUITE F
MURFREESBORO, TN
ZIP 37129
Phone: (615) 849-4081
Fax: (615) 895-0856

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 44D2001361
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 12-16-2025

About XAI FAMILY MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Xai Family Medical Clinic, a provider established in Murfreesboro, Tennessee operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1164759601 assigned on November 2009. The practitioner's primary taxonomy code is 363LF0000X with license number APN0000014210 (TN). The provider is registered as an organization and their NPI record was last updated 15 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 Xaiyavong Saenphansiri Apn, Fnp (Np)

NPI
1164759601
Provider Name
XAI FAMILY MEDICAL CLINIC
Entity Type
Organization
Location Address
315 ROBERT ROSE DR SUITE F MURFREESBORO, TN 37129
Location Phone
(615) 849-4081
Location Fax
(615) 895-0856
Mailing Address
315 ROBERT ROSE DR SUITE F MURFREESBORO, TN 37129
Mailing Phone
(615) 849-4081
Mailing Fax
(615) 895-0856
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2009
Last Update Date
01-25-2010
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A nurse practitioner (NP) like Xai Family Medical Clinic 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.

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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
APN0000014210
License State
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.

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

XAIYAVONG SAENPHANSIRI APN, FNP

Authorized Official Title
NP
Authorized Official Phone
(615) 849-4081

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
44D2001361
Facility Type
Practitioner Other
Certificate Effective Date
December 17, 2023
Certificate Expiration Date
December 16, 2025
Laboratory Director
XAIYAVONG SAENPHANSIRI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Xai Family Medical Clinic 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.
1164759601
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211241451860
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 4 + 5 + 1 + 8 + 6 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1164759601 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134451958 DANA TURNER PENDARVIS AU.D.
Individual
Audiologist315 ROBERT ROSE DR SUITE E
MURFREESBORO, TN 37129
(615) 494-4344

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164759601, enumerated in the NPI registry as an "organization" on November 04, 2009

The provider is located at 315 Robert Rose Dr Suite F Murfreesboro, Tn 37129 and the phone number is (615) 849-4081

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

The provider's CLIA number is 44D2001361 for a "practitioner other" 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 04, 2009. 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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