MASINGALE FAMILY PRACTICE LLC
NPI 1649538109
Nurse Practitioner - Family in Englewood, TN

Active since May 02, 2012CLIA 44D2083444 · Waiver
321 W ATHENS ST, ENGLEWOOD, TN 37329(423) 435-5161 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 44D2083444
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-01-2027

About MASINGALE FAMILY PRACTICE LLC

This page provides the complete NPI Profile along with additional information for Masingale Family Practice Llc, a provider established in Englewood, Tennessee operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1649538109 assigned on May 2012. The practitioner's primary taxonomy code is 363LF0000X with license number 11954 (TN). The provider is registered as an organization and their NPI record was last updated 14 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 authorized official of this NPI record is Monica Masingale Np (Np)

NPI
1649538109 Verify this NPI
Provider Name
MASINGALE FAMILY PRACTICE LLC
Entity Type
Organization
Location Address
321 W ATHENS ST ENGLEWOOD, TN 37329
Location Phone
(423) 435-5161
Mailing Address
321 W ATHENS ST ENGLEWOOD, TN 37329
Mailing Phone
(423) 435-5161
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2012
Last Update Date
05-02-2012
Code Navigator

A nurse practitioner (NP) like Masingale Family Practice Llc 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 Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
11954
License State
TN

Group Taxonomy 193400000X 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

MONICA MASINGALE NP

Authorized Official Title
NP
Authorized Official Phone
(423) 435-5161

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2083444
Facility Type
Physician Office
Certificate Effective Date
May 02, 2025
Certificate Expiration Date
May 01, 2027
Laboratory Director
DEIDRE BROWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Masingale Family Practice Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MASINGALE FAMILY PRACTICE LLC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Family Medicine
321 W ATHENS ST
ENGLEWOOD, TN 37329
Nurse Practitioner (Family)
321 W ATHENS ST
ENGLEWOOD, TN 37329
Nurse Practitioner (Family)
321 W ATHENS ST
ENGLEWOOD, TN 37329

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649538109, enumerated as an "organization" on May 02, 2012.

The provider is located at 321 W ATHENS ST ENGLEWOOD, TN 37329 and the phone number is (423) 435-5161.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.