PORTLAND FAMILY CARE AND WALK-IN CLINIC
NPI 1518106020
Nurse Practitioner - Acute Care in Portland, TN

NPI Status: Active since February 08, 2009

Contact Information

505 S BROADWAY
PORTLAND, TN
ZIP 37148
Phone: (615) 323-1020
Fax: (615) 323-1021

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  • Organization
  • Nurse Practitioner
  • Acute Care

About PORTLAND FAMILY CARE AND WALK-IN CLINIC

This page provides the complete NPI Profile along with additional information for Portland Family Care And Walk-in Clinic, a provider established in Portland, Tennessee operating as a Nurse Practitioner, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1518106020 assigned on February 2009. The practitioner's primary taxonomy code is 363LA2100X with license number 10971 (TN). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Portland Family Care And Walk-in Clinic. The authorized official of this NPI record is Emily Tidwell Np (Member)

NPI
1518106020
Provider Legal Name
TIDWELL FAMILY VENTURES LLC
Other Organization Name
PORTLAND FAMILY CARE AND WALK-IN CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
505 S BROADWAY PORTLAND, TN 37148
Location Phone
(615) 323-1020
Location Fax
(615) 323-1021
Mailing Address
505 S BROADWAY PORTLAND, TN 37148
Mailing Phone
(615) 323-1020
Mailing Fax
(615) 323-1021
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2009
Last Update Date
08-05-2009
Code Navigator

A nurse practitioner (NP) like Portland Family Care And Walk-in 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 Acute Care

Taxonomy Code
363LA2100X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
10971
License State
TN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

1755 (TN)
2363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

13982 (TN)

Group Taxonomy 193400000X MULTIPLE 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

EMILY TIDWELL NP

Authorized Official Title
MEMBER
Authorized Official Phone
(615) 323-1020

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1518106020, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 2 + 8 + 2 + 0 + 1 + 2 + 0 + 4 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1518106020.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518106020, enumerated as an "organization" on February 08, 2009.

The provider is located at 505 S BROADWAY PORTLAND, TN 37148 and the phone number is (615) 323-1020.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.