Peloton Healthcare Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PELOTON HEALTHCARE SUPPLY

Practice address

312 Natchez CT
Nashville, TN 37211-3420

Phone

(615) 469-1549

Fax

(615) 469-4445

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ezekiel Lee Stout

Title

President

Phone

(615) 469-1549

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316046014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 NATCHEZ CT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113420",
            "telephone_number": "615-469-1549",
            "fax_number": "615-469-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 NATCHEZ CT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113420",
            "telephone_number": "615-469-1549",
            "fax_number": "615-469-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELOTON HEALTHCARE SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "EZEKIEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-469-1549",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Pelissier, MD
• Shannon Pelissier, RN
• Lisa Christine Pellegrin, PH.D.
• Rachael Pellegrino, MD, MPH
• Shanna Pellillo, CNM
• Meredith Sellers Pelster, M.D.
• Michael Warren Pelster, M.D.
• Amanda Peltier, MD
• Elissa Rainer Pelton, PA-C
• Mariah Pelton, PHARMD

• Durable Medical Equipment & Medical Supplies in Nashville, TN
• Providers in Nashville, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.