NPIMap

Organization Active NPI

The Solution Source LLC

  • Community/Behavioral Health Agency
  • Knoxville, TN
National Provider Identifier
1114100955
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE SOLUTION SOURCE LLC
Practice address
4038 Gap Rd
Knoxville, TN 37912-5903
Phone
(865) 525-0391
Fax
(865) 321-8833
NPI assigned
Dec 17, 2007
Last updated
Mar 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Mr. Ryan Keith PetersNPI 1144385402
Title
Executive Director
Phone
(865) 599-2367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X TN Primary

Addresses

Primary practice location

4038 Gap Rd
Knoxville, TN 37912-5903

Mailing address

4038 Gap Rd
Knoxville, TN 37912-5903
Phone (865) 525-0391

Other identifiers 1

IdentifierTypeStateIssuer
1503129MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
The Solution Source LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4038 Gap Rd
Knoxville, TN 37912
Phone (865) 525-3091

Practitioners & affiliated clinicians

Practitioners 55

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 55

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1114100955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 GAP RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379125903",
            "telephone_number": "865-525-0391",
            "fax_number": "865-321-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 GAP RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379125903",
            "telephone_number": "865-525-0391",
            "fax_number": "865-321-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOLUTION SOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "865-599-2367",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1503129",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.