Organization Active NPI

Upper Cumberland Pulmonary Group

  • Specialist
  • Cookeville, TN
National Provider Identifier
1326185356
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4363179 Issued in TN
Legal business name
UPPER CUMBERLAND PULMONARY GROUP
Practice address
315 N Washington Ave
Suite 265
Cookeville, TN 38501-2603
Phone
(931) 520-1696
Fax
(931) 528-7759
NPI assigned
Jan 31, 2007
Last updated
Sep 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Mrs. Tina M Dudney, M.D.
Title
Owner
Phone
(931) 520-1696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 4363179 TN Primary

Addresses

Primary practice location

315 N Washington Ave
Suite 265
Cookeville, TN 38501-2603

Mailing address

315 N Washington Ave
Suite 265
Cookeville, TN 38501-2603
Phone (931) 520-1696

National Provider Directory

National Provider Directory

Locations

251 W 3rd St
Ste 200
Cookeville, TN 38501
Phone (931) 520-1696

315 N Washington Ave
Ste 201
Cookeville, TN 38501
Phone (931) 520-1696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1326185356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE",
            "address_2": "SUITE 265",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012603",
            "telephone_number": "931-520-1696",
            "fax_number": "931-528-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE",
            "address_2": "SUITE 265",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012603",
            "telephone_number": "931-520-1696",
            "fax_number": "931-528-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CUMBERLAND PULMONARY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "DUDNEY",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-520-1696",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "4363179",
            "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 Sep 26, 2007; 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.