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

Active since July 13, 2017
104 WESTSIDE DR, TULLAHOMA, TN 37388(931) 636-3176 Get Directions Write a Review

NPPES record last updated: July 13, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Westside Family Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTSIDE FAMILY MEDICAL (NPI 1144742842) is a healthcare organization registered as a family in Tullahoma, Tennessee and active in the NPI registry since July 2017. The organization lists Leslie Lynette Myers, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1144742842
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWESTSIDE FAMILY MEDICAL
Location Address104 WESTSIDE DRTullahoma, TN 37388-3253
Mailing Address160 Crestview DrWinchester, TN 37398-2566 · (931) 636-3176
Phone(931) 636-3176
Organization SubpartNo
Authorized OfficialLeslie Lynette MyersNurse Practitioner · (931) 636-3176
Enumeration DateJuly 13, 2017
✔ NPI 1144742842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TN · 20413✔ Licensed in TN · 19352
104 WESTSIDE DR, Tullahoma, TN 37388
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Other Identifiers 2

Medicaid1053780478TN
Medicaid1255720421TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Westside Family Medical's NPI number?

The NPI number for Westside Family Medical is 1144742842. It was assigned to this organization in the NPPES registry on July 13, 2017.

Where is Westside Family Medical located?

Westside Family Medical is located at 104 Westside Dr, Tullahoma, TN 37388. The listed phone number is (931) 636-3176.

What is Westside Family Medical's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Westside Family Medical was last updated on July 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.