Organization Active NPI

Vetnurse LLC

  • Non-emergency Medical Transport (VAN)
  • Clarksville, TN
National Provider Identifier
1184448680
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
VETNURSE LLC
Practice address
1122 Terraceside Cir
Clarksville, TN 37040-6442
Phone
(910) 303-3523
NPI assigned
Nov 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Candice Broady, LPN
Title
Member
Phone
(910) 303-3523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1122 Terraceside Cir
Clarksville, TN 37040-6442

Mailing address

1122 Terraceside Cir
Clarksville, TN 37040-6442

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1184448680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 TERRACESIDE CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 TERRACESIDE CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406442",
            "telephone_number": "910-303-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETNURSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "BROADY",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "910-303-3523",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.