Ut Lifestar, LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

EMS0000010038 Issued in TN

Legal business name

UT LIFESTAR, LLC

Practice address

255 Highway 322 E
Sweetwater, TN 37874-0000

Phone

(423) 337-2563

NPI assigned

May 7, 2007

Last updated

Mar 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Hinton

Title

VP of Finance

Phone

(417) 256-0010

Specialties & licenses 1

Addresses

Other names 1

• UT LIFESTAR 2 Other name

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1144433129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750708",
            "telephone_number": "417-257-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 HIGHWAY 322 E",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378740000",
            "telephone_number": "423-337-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UT LIFESTAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "HINTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "417-256-0010"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "TN",
            "license": "EMS0000010038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UT LIFESTAR 2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hannah Faith Thearp
• Jonathan Timko, DPT
• Total Renal Care Inc (Rocky Top Dialysis)
• Terri Lee Tucker, MS., CCC-SLP
• Amanda Tuscan, PTA
• Thomas Vance, NP
• Bridgette Vestal, PHARMD
• Brian Lee Villanueva, M.D.
• Ramon Villanueva, M.D.
• Chloe Ann Vincil, LPC-MHSP, NCC

• Air Ambulance in Sweetwater, TN
• Providers in Sweetwater, TN by specialty
• Air Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.