NPIMap

Organization Active NPI

TN Valley

  • VA Clinic/Center
  • Cookeville, TN
National Provider Identifier
1356448633
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
License
0000046089 Issued in TN
Legal business name
TN VALLEY
Practice address
1101 Neal St
Suite 101
Cookeville, TN 38501-0901
Phone
(931) 525-1651
Fax
(931) 525-2165
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rexford Agbenohevi, MD
Title
MD
Phone
(931) 525-1651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X 0000046089 TN Primary

Addresses

Primary practice location

1101 Neal St
Suite 101
Cookeville, TN 38501-0901

Mailing address

PO Box 3432
Cookeville, TN 38502-3432
Phone (931) 525-1651

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356448633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3432",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385023432",
            "telephone_number": "931-525-1651",
            "fax_number": "931-525-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NEAL ST",
            "address_2": "SUITE 101",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010901",
            "telephone_number": "931-525-1651",
            "fax_number": "931-525-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TN VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGBENOHEVI",
        "authorized_official_first_name": "REXFORD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "931-525-1651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "TN",
            "license": "0000046089",
            "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 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.