The Vaccination Clinic, PC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

THE VACCINATION CLINIC, PC

Practice address

7648 Highway 70 S
Suite 15
Nashville, TN 37221-1742

Phone

(615) 469-7413

Fax

(615) 469-5935

NPI assigned

Nov 28, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Kaye J Ivanoff, RN

Title

Secretary

Phone

(615) 525-7618

Specialties & licenses 1

Addresses

Other names 1

• SHOTS, etc. Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John D Crawford, MD

  • Family Medicine Physician
  • Germantown, TN
  • NPI 1568406551
  NPD

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1154666451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7648 HIGHWAY 70 S",
            "address_2": "SUITE 15",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372211742",
            "telephone_number": "615-469-7413",
            "fax_number": "615-469-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7648 HIGHWAY 70 S",
            "address_2": "SUITE 15",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372211742",
            "telephone_number": "615-469-7413",
            "fax_number": "615-469-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VACCINATION CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "IVANOFF",
        "authorized_official_first_name": "KAYE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-525-7618",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHOTS, etc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Ross Center
• The Skillbuilding Co-Op, LLC
• The Start Center
• The Surgical Clinic PLLC
• The Surgical Clinic, PLLC
• The Vertebro PLC
• The Village Well Counseling and Psychotherapy, LLC
• The Walker Group
• The West Clinic, PLLC
• The Womens Center

• Community Health Clinic/Center in Nashville, TN
• Providers in Nashville, TN by specialty
• Community Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.