Active NPI
Progressivehealth Healthspot
- Corporate Health Clinic/Center
- Dayton, TN
National Provider Identifier
1245830074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corporate Health Clinic/Center
- Legal business name
- PROGRESSIVEHEALTH HEALTHSPOT
- Practice address
- 500 Walnut Grove Rd
Dayton, TN 37321-5941 - Phone
- (615) 830-4081
- NPI assigned
- Oct 30, 2020
- Last updated
- Dec 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kevin Rainbolt
- Title
- Dir. of Employer Medical Solutions
- Phone
- (615) 830-4081
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corporate Health Clinic/Center | 261QC1800X | Primary |
Addresses
Primary practice location
500 Walnut Grove Rd
Dayton, TN 37321-5941
Mailing address
150 N Rosenberger Ave
Evansville, IN 47712-6503
Phone (812) 491-3856
Other practice location 1
160 Kirby Dr
Portland, TN 37148-2003
Phone (615) 802-1414
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://la-z-boytn.healthspotclinic.com/ | Other |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2209275 | Progressivehealth Healthspot, LLC | Certificate of waiver | Jan 11, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Progressivehealth Healthspot
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Murfreesboro, TN
- NPI 1487223988
-
- Primary Care Clinic/Center
- Portland, TN
- NPI 1902486731
-
dba Yorozu Family HealthSpot
- Primary Care Clinic/Center
- Morrison, TN
- NPI 1376277558
-
dba YKTA HealthSpot
- Family Medicine Physician
- Madison, AL
- NPI 1265140446
-
dba City of South Charleston Employee Health Clinic
- Primary Care Clinic/Center
- South Charleston, WV
- NPI 1841970241
Locations
160 Kirby Dr
Portland, TN 37148
Phone (615) 802-1414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671494400000",
"number": "1245830074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N ROSENBERGER AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477126503",
"telephone_number": "812-491-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WALNUT GROVE RD",
"city": "DAYTON",
"state": "TN",
"postal_code": "373215941",
"telephone_number": "615-830-4081"
}
],
"practiceLocations": [
{
"address_1": "160 Kirby Dr",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "TN",
"postal_code": "371482003",
"country_code": "US",
"telephone_number": "615-802-1414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PROGRESSIVEHEALTH HEALTHSPOT",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-30",
"last_updated": "2022-12-20",
"certification_date": "2021-04-14",
"status": "A",
"authorized_official_last_name": "RAINBOLT",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "DIR. OF EMPLOYER MEDICAL SOLUTIONS",
"authorized_official_telephone_number": "615-830-4081",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QC1800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Corporate Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://la-z-boytn.healthspotclinic.com/",
"affiliation": "N",
"endpointDescription": "website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "website",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "500 Walnut Grove Rd",
"city": "Dayton",
"state": "TN",
"country_code": "US",
"postal_code": "373215941",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dayton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.