Provider Demographics
NPI:1699091447
Name:CARING FAMILY PRACTICE PLLC
Entity type:Organization
Organization Name:CARING FAMILY PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:CFNP
Authorized Official - Phone:931-245-2086
Mailing Address - Street 1:311 LANDRUM PLACE
Mailing Address - Street 2:SUITE C500
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043
Mailing Address - Country:US
Mailing Address - Phone:931-245-2086
Mailing Address - Fax:931-245-2087
Practice Address - Street 1:311 LANDRUM PLACE
Practice Address - Street 2:SUITE C500
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043
Practice Address - Country:US
Practice Address - Phone:931-245-2086
Practice Address - Fax:931-245-2087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000006394363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4259723OtherBLUE CROSS OF TN GROUP
TN3904561Medicaid
TN4265147OtherBLUE CROSS OF TN
TN1517675OtherMEDICAID GROUP