Specialty Oxygen Services, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0000000855 Issued in TN

Legal business name

SPECIALTY OXYGEN SERVICES, INC.

Practice address

130 Perimeter Park Road
Suite H & I
Knoxville, TN 37922-2103

Phone

(865) 531-0281

Fax

(865) 531-0283

NPI assigned

Jun 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Deneise Standefer, RN, BSNPI 1992044762

Title

President

Phone

(423) 802-5143

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Standefer, FNP-BC

  • Family Nurse Practitioner
  • Fort Walton Beach, FL
  • NPI 1992044762
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1013957786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1480",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "37379",
            "telephone_number": "865-531-0281",
            "fax_number": "865-531-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PERIMETER PARK ROAD",
            "address_2": "SUITE H & I",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222103",
            "telephone_number": "865-531-0281",
            "fax_number": "865-531-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY OXYGEN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "STANDEFER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DENEISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-802-5143",
        "authorized_official_credential": "RN, BS"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "0000000855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME # FOR BC/BS",
            "identifier": "4104806",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454932",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Oxygen Equipment & Supplies (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.