Basic Information
Provider Information
NPI: 1467757609
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MERIWETHER
FirstName: CATHERINE
MiddleName: TARLETON
NamePrefix: MRS.
NameSuffix:  
Credential: MSN NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 820 SPRINGER DR
Address2:  
City: LOMBARD
State: IL
PostalCode: 601486413
CountryCode: US
TelephoneNumber: 8157448554
FaxNumber:  
Practice Location
Address1: 125 COOL SPRINGS BLVD STE 210
Address2:  
City: FRANKLIN
State: TN
PostalCode: 370674637
CountryCode: US
TelephoneNumber: 6157161611
FaxNumber: 6292062511
Other Information
ProviderEnumerationDate: 01/19/2011
LastUpdateDate: 01/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102X15553TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

ID Information
IDTypeStateIssuerDescription
608503201TNBCBSOTHER
152295905TN MEDICAID


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