NPIMap

Organization Active NPI

Allergy Treatment and Diagnostic Center, LLC

  • Family Nurse Practitioner
  • Dresden, TN
National Provider Identifier
1407247935
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16412 Issued in TN
Legal business name
ALLERGY TREATMENT AND DIAGNOSTIC CENTER, LLC
Practice address
130 E Locust St
Dresden, TN 38225-1467
Phone
(731) 285-8247
Fax
(731) 334-5732
NPI assigned
Feb 5, 2015
Last updated
Feb 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Mrs. Sheryl Wright, FNPNPI 1942249677
Title
Organizer
Phone
(731) 285-6110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16412 TN Primary

Addresses

Primary practice location

130 E Locust St
Dresden, TN 38225-1467

Mailing address

708 E Court St
Dyersburg, TN 38024-4829
Phone (731) 285-8247

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1407247935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E COURT ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380244829",
            "telephone_number": "731-285-8247",
            "fax_number": "731-334-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E LOCUST ST",
            "city": "DRESDEN",
            "state": "TN",
            "postal_code": "382251467",
            "telephone_number": "731-285-8247",
            "fax_number": "731-334-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY TREATMENT AND DIAGNOSTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "731-285-6110",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dresden, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.