NPIMap

Organization Active NPI

Univita of Tennessee, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Cookeville, TN
National Provider Identifier
1295071314
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
510 Issued in TN
Legal business name
UNIVITA OF TENNESSEE, INC.
Practice address
1572 S Maple Ave
Suite a
Cookeville, TN 38506-2605
Phone
(615) 650-8000
Fax
(615) 724-0242
NPI assigned
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Mr. Jeff Sjobeck
Title
Vice President
Phone
(952) 516-6289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 510 TN Primary

Addresses

Primary practice location

1572 S Maple Ave
Suite a
Cookeville, TN 38506-2605

Mailing address

947 Woodland St
Nashville, TN 37206-3753
Phone (615) 650-8000

National Provider Directory

National Provider Directory
Tax ID family
Univita of Tennessee Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1572 S Maple Ave
Ste A
Cookeville, TN 38506
Phone (615) 650-8000

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1295071314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 WOODLAND ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063753",
            "telephone_number": "615-650-8000",
            "fax_number": "615-724-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 S MAPLE AVE",
            "address_2": "SUITE A",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385062605",
            "telephone_number": "615-650-8000",
            "fax_number": "615-724-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVITA OF TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "SJOBECK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "952-516-6289",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.