County of Rutherford Office of Budget Director

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS0000007501 Issued in TN

Legal business name

COUNTY OF RUTHERFORD OFFICE OF BUDGET DIRECTOR

Doing business as

Rutherford County EMS

Practice address

611 E Lytle St
Murfreesboro, TN 37130-3919

Phone

(615) 898-7790

Fax

(615) 898-7952

NPI assigned

Jun 21, 2005

Last updated

Mar 16, 2021By 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

Kacy Marie Davenport

Title

Medical Compliance Officer

Phone

(615) 898-7790

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Rutherford County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 18

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.

• Mark T. Byram, M.D.

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1124065362
  NPD (past)
• Ruth Ann Daniels, M.D.

  • Emergency Medicine Physician
  • Union City, TN
  • NPI 1710905989
  NPD (past)
• Lori Ann Eubank, M.D.

  • Emergency Medicine Physician
  • Dickson, TN
  • NPI 1326081787
  NPD (past)
• Angela Jean Gaskin, MD

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1831186188
  NPD (past)
• Tonia L. Henry, NP

  • Nurse Practitioner
  • Springfield, TN
  • NPI 1245270529
  NPD (past)
• Brian Royal McMurray, M.D.

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1750324315
  NPD (past)
• Willie James Myers Jr., MD

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1265869853
  NPD (past)
• Ursula Denise Norfleet, MD

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1013964741
  NPD (past)
• Kevin Bradbury Oothout, M.D.

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1538107206
  NPD (past)
• Shannon Leigh Roberts, NP

  • Nurse Practitioner
  • Powell, TN
  • NPI 1255374880
  NPD (past)
• Daniel B Seeley, FNP

  • Nurse Practitioner
  • Mount Juliet, TN
  • NPI 1467481044
  NPD (past)
• Gary Duane Singer, D.O.

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1275573974
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1205832797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E. LYTLE ST.",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37130",
            "telephone_number": "615-217-0064",
            "fax_number": "615-898-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E LYTLE ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303919",
            "telephone_number": "615-898-7790",
            "fax_number": "615-898-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF RUTHERFORD OFFICE OF BUDGET DIRECTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "KACY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "615-898-7790"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000007501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3524565",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TN",
            "identifier": "9852",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP COMMUNITY CARE",
            "identifier": "01040561",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING",
            "identifier": "1401514",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590101329",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutherford County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Mason Costello, CPHT
• Nicholas Sterling Cote, D.O.
• Joseph Mark Cotten, RN, MSN, FNP-BC
• Rebecca J. Couch, RN
• Counterbalance Therapy Services PLLC (Counterbalance)
• William A Courington
• Allison F Courtney, FNP
• Joshua Courtney, PA-C
• Lauren Courtney
• Tina Darnise Covington Gresham, M.D.

• Land Ambulance in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Land Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.