Active NPI
Stephanie Michelle Rambo, BS
- Social Worker
- Tullahoma, TN
National Provider Identifier
1073641809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 92050041
- Practice address
- 709 Davidson St
Tullahoma, TN 37388-3607 - Phone
- (931) 393-5924
- Fax
- (931) 393-5902
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 92050041 | TN | Primary |
Addresses
Primary practice location
709 Davidson St
Tullahoma, TN 37388-3607
Mailing address
112 Lake St
Estill Springs, TN 37330-3074
Phone (931) 649-3402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92050041 | TN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073641809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 LAKE ST",
"city": "ESTILL SPRINGS",
"state": "TN",
"postal_code": "373303074",
"telephone_number": "931-649-3402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 DAVIDSON ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373883607",
"telephone_number": "931-393-5924",
"fax_number": "931-393-5902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMBO",
"first_name": "STEPHANIE",
"middle_name": "MICHELLE",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "92050041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.