Organization Active NPI

Nomad Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Germantown, TN
National Provider Identifier
1285836791
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
106005767 Issued in TN
Legal business name
NOMAD MEDICAL LLC
Practice address
2661 Lockesley CV N
Germantown, TN 38139-6826
Phone
(901) 674-7420
Fax
(901) 677-1717
NPI assigned
Jun 5, 2007
Last updated
Aug 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Patrick Winstead
Title
Ceo
Phone
(901) 371-8915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 106005767 TN Primary

Addresses

Primary practice location

2661 Lockesley CV N
Germantown, TN 38139-6826

Mailing address

PO Box 38957
Germantown, TN 38183-0957
Phone (901) 674-7420

National Provider Directory

National Provider Directory

Locations

5909 Shelby Oaks Dr
Ste 150
Memphis, TN 38134
Phone (901) 371-8915

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1285836791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38957",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381830957",
            "telephone_number": "901-674-7420",
            "fax_number": "901-677-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 LOCKESLEY CV N",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396826",
            "telephone_number": "901-674-7420",
            "fax_number": "901-677-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOMAD MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "WINSTEAD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-371-8915"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "106005767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.