Active NPI
Tennessee Valley Allergy Servcies
- Allergy & Immunology Physician
- Lawrenceburg, TN
National Provider Identifier
1306657267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- TENNESSEE VALLEY ALLERGY SERVCIES
- Practice address
- 2121 N Locust Ave Ste 8
Lawrenceburg, TN 38464-4454 - Phone
- (931) 325-0757
- Fax
- (931) 325-0747
- NPI assigned
- Jan 18, 2025
- 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
- Brandy Richardson
- Title
- Owner
- Phone
- (931) 325-0757
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary | ||
| Family Medicine Physician | 207Q00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
2121 N Locust Ave Ste 8
Lawrenceburg, TN 38464-4454
Mailing address
2121 N Locust Ave Ste 8
Lawrenceburg, TN 38464-4454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2121 N Locust Ave
Ste 8
Lawrenceburg, TN 38464
Phone (931) 325-0757
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1437833498
-
- Family Medicine Physician
- Lawrenceburg, TN
- NPI 1144312372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738540800000",
"number": "1306657267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 N LOCUST AVE STE 8",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384644454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 N LOCUST AVE STE 8",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384644454",
"telephone_number": "931-325-0757",
"fax_number": "931-325-0747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENNESSEE VALLEY ALLERGY SERVCIES",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-18",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "BRANDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "931-325-0757"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.