ADVANCED CARE AND MEDSPA, LLC
NPI 1861262537
Nurse Practitioner - Primary Care in Hendersonville, TN

Active since January 04, 2024CLIA 44D2298170 · Waiver
139 MAPLE ROW BLVD STE 100, HENDERSONVILLE, TN 37075(615) 447-3981(615) 503-8096 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2024, Jan 4, 2024 (2 updates tracked since 2024).

About Advanced Care And Medspa, Llc NPPES

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

ADVANCED CARE AND MEDSPA, LLC (NPI 1861262537) is a healthcare organization registered as a primary care in Hendersonville, Tennessee and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Kalie Ann Faulkner, Owner/np, as its authorized official.

NPPES Registry Identity

NPI1861262537
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameADVANCED CARE AND MEDSPA, LLC
Location Address139 MAPLE ROW BLVD STE 100Hendersonville, TN 37075-4490
Mailing Address139 Maple Row Blvd Ste 100Hendersonville, TN 37075-4490 · (615) 447-3981 · Fax (615) 503-8096
Fax(615) 503-8096
Organization SubpartNo
Authorized OfficialKalie Ann FaulknerOwner/np · (615) 447-3981
Enumeration DateJanuary 4, 2024
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
NPI 1861262537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
139 MAPLE ROW BLVD STE 100, Hendersonville, TN 37075

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

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 44D2298170

Advanced Care And Medspa, LLC · Hendersonville, TN
Active · expires Jan 29, 2028
CLIA Number44D2298170
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorKalie A. Faulkner
Laboratory Phone(615) 447-3981
Laboratory LocationAdvanced Care And Medspa, LLC139 Maple Row Blvd, Suite 100, Hendersonville, TN 37075
CLIA data matches this NPI record on: Address 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)
139 MAPLE ROW BLVD STE 100
HENDERSONVILLE, TN 37075
Nurse Practitioner (Family)
139 MAPLE ROW BLVD STE 100
HENDERSONVILLE, TN 37075

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 Advanced Care And Medspa, LLC's NPI number?

The NPI number for Advanced Care And Medspa, LLC is 1861262537. It was assigned to this organization in the NPPES registry on January 4, 2024.

Where is Advanced Care And Medspa, LLC located?

Advanced Care And Medspa, LLC is located at 139 Maple Row Blvd Ste 100, Hendersonville, TN 37075. The listed phone number is (615) 447-3981.

What is Advanced Care And Medspa, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Advanced Care And Medspa, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2298170) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Care And Medspa, LLC was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.