NPIMap

Organization Active NPI

Tennessee Valley Pediatric Associatesinc.

  • Pediatrics Physician
  • Tuscumbia, AL
National Provider Identifier
1043323439
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TENNESSEE VALLEY PEDIATRIC ASSOCIATESINC.
Practice address
234 Keller Park Blvd
Tuscumbia, AL 35674-1417
Phone
(256) 381-6963
Fax
(256) 381-6018
NPI assigned
Aug 17, 2006
Last updated
May 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Karmen Somers
Title
Administrator
Phone
(256) 381-6963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

234 Keller Park Blvd
Tuscumbia, AL 35674-1417

Mailing address

234 Keller Park Blvd
Tuscumbia, AL 35674-1417
Phone (256) 381-6963

National Provider Directory

National Provider Directory

Locations

234 Keller Park Blvd
Tuscumbia, AL 35674
Phone (256) 381-6963

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1043323439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 KELLER PARK BLVD",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741417",
            "telephone_number": "256-381-6963",
            "fax_number": "256-381-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 KELLER PARK BLVD",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741417",
            "telephone_number": "256-381-6963",
            "fax_number": "256-381-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VALLEY PEDIATRIC ASSOCIATESINC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "SOMERS",
        "authorized_official_first_name": "KARMEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-381-6963"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscumbia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.