Family and Pediatric Care Clinic LLC
NPI 1861844763ActiveOrganization· Nurse Practitioner, Family· Oneida, TN
Nurse Practitioner, Family in Oneida, Tennessee, registered in NPPES in July 2016. The authorized official on file is Donna West, Office Manager. Enrolled in Medicare as part a provider - rural health clinic and part b supplier - clinic/group practice.
Overview
| NPI | 1861844763 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 5, 2016 |
| Last updated in NPPES | Jun 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 0000020552 | TN |
| Nurse Practitioner, Family | 363LF0000X | 0000016521 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Rural Health Clinic (TN); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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