NPIMap

Organization Active NPI

Vanderbilt Integrated Providers, LLC

Doing business as Vanderbilt Integrated Center for Women's Health

  • Rural Health Clinic/Center
  • Tullahoma, TN
National Provider Identifier
1265210843
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
VANDERBILT INTEGRATED PROVIDERS, LLC
Doing business as
Vanderbilt Integrated Center for Women's Health
Practice address
1440 Cedar LN Ste 200
Tullahoma, TN 37388-2486
Phone
(931) 461-1101
Fax
(931) 222-4131
NPI assigned
Sep 15, 2023
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Wendy D Monaci
Title
Vice President
Phone
(615) 936-3944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1440 Cedar LN Ste 200
Tullahoma, TN 37388-2486

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other names 1

  • Vanderbilt Integrated Center for Women's Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231027000534 TN Part A Provider - Rural Health Clinic 7012817919 Practice locations: Tullahoma, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265210843. Details of each certification follow.

Rural health clinic certification: CCN 883960

Legal name
VANDERBILT INTEGRATED PROVIDERS LLC
Doing business as
VANDERBILT INTEGRATED CENTER FOR WOMEN'S HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 14, 2024
Last certification
Mar 14, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 12, 2023 in TN
Enrollment address
1440 Cedar LN
Ste 200
Tullahoma, TN 37388-2486

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
James S Kennedy MD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2920 Lone Oak Rd
Ste 4
Paducah, KY 42003
Phone (270) 908-2261

2292 Dalton Dr
Ste D
Clarksville, TN 37043
Phone (615) 497-0046

300 Steam Plant Rd
Ste 260A
Gallatin, TN 37066
Phone (615) 989-7951

741 President Pl
Ste 230
Smyrna, TN 37167
Phone (615) 462-5171

1440 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (931) 461-1101

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Nanney Individual Corporate OfficerSecretary / Treasurer May 1, 2021
Wendy Monaci Individual Corporate OfficerVice President May 1, 2021
W-2 Managing EmployeeVice President May 1, 2021
Vanderbilt University Medical Center Organization, Nashville, TN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2020 100%
Operational/Managerial Control May 1, 2021
Rick W Wright Individual Operational/Managerial ControlPresident Jul 1, 2025

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vip Children's Clinic-LafayetteLafayette, TN, CCN 883850 Rural health clinic 5% Or Greater Indirect Ownership Interest Jul 1, 1998
Vip Children's Clinic - SpringfieldSpringfield, TN, CCN 883849 Rural health clinic Limited Partnership Interest Jul 1, 1998
Vip Childrens Clinic-Pleasant ViewPleasant View, TN, CCN 883848 Rural health clinic Limited Partnership Interest Jul 1, 1998

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Vip Midsouth, LLC

    dba VIP Children's Clinic - Pleasant View

    • Rural Health Clinic/Center
    • Pleasant View, TN
    • NPI 1336722669

    Limited Partnership Interest

    CMS ownership
  • Vip Midsouth, LLC

    dba VIP Children's Clinic - Springfield

    • Rural Health Clinic/Center
    • Springfield, TN
    • NPI 1528641859

    Limited Partnership Interest

    CMS ownership
  • Vip Midsouth, LLC

    dba VIP Children's Clinic - Lafayette

    • Rural Health Clinic/Center
    • Lafayette, TN
    • NPI 1588247811

    5% Or Greater Indirect Ownership Interest

    CMS ownership

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

Practitioners & affiliated clinicians

Practitioners 161

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.

View all 161

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1265210843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 CEDAR LN STE 200",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882486",
            "telephone_number": "931-461-1101",
            "fax_number": "931-222-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT INTEGRATED PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "MONACI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-936-3944"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanderbilt Integrated Center for Women's Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vanderbilt Integrated Center for Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.