Provider Demographics
NPI:1144809757
Name:BEST PRACTICE FAMILY CARE PLLC
Entity type:Organization
Organization Name:BEST PRACTICE FAMILY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMI
Authorized Official - Middle Name:K
Authorized Official - Last Name:GUFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:423-722-5000
Mailing Address - Street 1:2137 VOLUNTEER PKWY STE 5
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-6717
Mailing Address - Country:US
Mailing Address - Phone:423-722-5000
Mailing Address - Fax:423-722-5130
Practice Address - Street 1:2137 VOLUNTEER PKWY STE 5
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-6717
Practice Address - Country:US
Practice Address - Phone:423-722-5000
Practice Address - Fax:423-722-5130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-02
Last Update Date:2025-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ065996Medicaid