Active NPI
Elizabeth Reashelle Driver
- Homemaker
- Goodlettsville, TN
National Provider Identifier
1336387802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 00131591
- Practice address
- 122 Canton CT
Goodlettsville, TN 37072-2173 - Phone
- (615) 483-4872
- NPI assigned
- Jan 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | 00131591 | TN | |
| Adult Companion | 372600000X | 00131591 | TN | |
| Home Health Aide | 374U00000X | 00131591 | TN | |
| Homemaker | 376J00000X | 00131591 | TN | Primary |
Addresses
Primary practice location
122 Canton CT
Goodlettsville, TN 37072-2173
Mailing address
PO Box 1852
Goodlettsville, TN 37070-1852
Phone (615) 483-4872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00131591 | TN | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1336387802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1852",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370701852",
"telephone_number": "615-483-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 CANTON CT",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722173",
"telephone_number": "615-483-4872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRIVER",
"first_name": "ELIZABETH",
"middle_name": "REASHELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-21",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "TN",
"license": "00131591",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "TN",
"license": "00131591",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "TN",
"license": "00131591",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "TN",
"license": "00131591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodlettsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.