Department of Intellectual and Developmental Disabilities

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

0000001013 Issued in TN

Legal business name

DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES

Practice address

275 Stewarts Ferry Pike
Nashville, TN 37214-3325

Phone

(615) 231-5425

Fax

(615) 884-4405

NPI assigned

Feb 17, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Lynn Jones

Title

Cota/L

Phone

(615) 231-5425

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1306119599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 STEWARTS FERRY PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143325",
            "telephone_number": "615-231-5425",
            "fax_number": "615-884-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 STEWARTS FERRY PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143325",
            "telephone_number": "615-231-5425",
            "fax_number": "615-884-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "COTA/L",
        "authorized_official_telephone_number": "615-231-5425",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "0000001013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylar Denton
• Mark Dentz, M.D.
• Andrea Marie Depalma, PHARM.D.
• Deparment of Veterans Affairs
• Department of Disability and Aging, Tennessee Early Intervention System (Teis)
• Department of Intellectual and Developmental Disabilities, State of TN
• Department of Intellectual and Developmental Disabilities, State of TN
• Department of Intellectual and Developmental Disabilities, State of TN
• Department of Intellectual and Developmental Disabilities, State of TN
• Department of Veterans Affairs Nashville

• Developmentally Disabled Services Day Training Agency in Nashville, TN
• Providers in Nashville, TN by specialty
• Developmentally Disabled Services Day Training Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.