LOG MOUNTAIN CLINIC
NPI 1386156610
Nurse Practitioner - Family in Pineville, KY

Active since October 26, 2017
101 MOUNTAIN VIEW CMNS, PINEVILLE, KY 40977(606) 337-8887 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2018, Mar 17, 2018, Oct 26, 2017 (3 updates tracked since 2017).

About Log Mountain Clinic NPPES

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

LOG MOUNTAIN CLINIC (NPI 1386156610) is a healthcare organization registered as a family in Pineville, Kentucky and active in the NPI registry since October 2017. The organization maintains 7 additional practice locations and lists Tiffeny Jean Treece, Owner, as its authorized official.

NPPES Registry Identity

NPI1386156610
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLOG MOUNTAIN FAMILY HEALTHCARE LLC
Location Address101 MOUNTAIN VIEW CMNSPineville, KY 40977-8708
Mailing AddressPo Box 13Pineville, KY 40977-0013 · (606) 337-8887
Organization SubpartYes
Authorized OfficialTiffeny Jean TreeceOwner · (606) 337-8887
Enumeration DateOctober 26, 2017
Last NPPES UpdateJune 16, 20183 updates tracked since enumeration
NPI 1386156610 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
101 MOUNTAIN VIEW CMNS, Pineville, KY 40977

Other Names 1

Doing Business AsLog Mountain Clinic

Secondary Practice Locations 7

Location 129 Henderson Settlement LoopFrakes, KY 40940 · Phone (606) 337-8887
Location 2101 Creech Hollow RdFourmile, KY 40939 · Phone (606) 337-8887
Location 3239 Page School RdPineville, KY 40977-8775 · Phone (606) 337-8887
Location 49821 US Highway 25 EPineville, KY 40977-8581 · Phone (606) 337-8887
Location 54840 W Cumberland AveMiddlesboro, KY 40965-9078 · Phone (606) 337-8887
Location 65296 Highway 221Stoney Fork, KY 40988-8930 · Phone (606) 337-8887
Location 79824 US Highway 25 EPineville, KY 40977-8581 · Phone (606) 337-8887

Other Identifiers 1

MedicaidTBDKY

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D1057697

Log Mountain Family Healthcare · Pineville, KY
Expired · Aug 20, 2026
CLIA Number18D1057697
Laboratory TypePractitioner Other
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorTiffeny N. Treece
Laboratory Phone(606) 337-8887
Laboratory LocationLog Mountain Family HealthcareRoute 1, Box 84 A, Pineville, KY 40977
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
101 MOUNTAIN VIEW CMNS
PINEVILLE, KY 40977
Nurse Practitioner (Family)
101 MOUNTAIN VIEW CMNS
PINEVILLE, KY 40977

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 Log Mountain Family Healthcare LLC's NPI number?

The NPI number for Log Mountain Family Healthcare LLC is 1386156610. It was assigned to this organization in the NPPES registry on October 26, 2017. The provider is doing business as Log Mountain Clinic.

Where is Log Mountain Family Healthcare LLC located?

Log Mountain Family Healthcare LLC is located at 101 Mountain View Cmns, Pineville, KY 40977. The listed phone number is (606) 337-8887.

What is Log Mountain Family Healthcare LLC'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 Log Mountain Family Healthcare LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.