Organization Active NPI

Nexslim of Hermitage, LLC

  • Dietary Manager
  • Hermitage, TN
National Provider Identifier
1417239757
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dietary ManagerTaxonomy code 132700000X
Legal business name
NEXSLIM OF HERMITAGE, LLC
Practice address
5651 Frist Blvd
Suite 207
Hermitage, TN 37076-2054
Phone
(615) 678-6357
NPI assigned
Sep 13, 2011
Organization subpart
Yes
Parent organization
NEXSLIM INTERNATIONAL, LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mr. C Scott Moyer
Title
Ceo
Phone
(615) 732-0768

National Provider Directory

National Provider Directory

Locations

5123 Virginia Way
Ste A23
Brentwood, TN 37027
Phone (256) 714-6160

5651 Frist Blvd
Ste 207
Hermitage, TN 37076
Phone (615) 678-6357

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dietary ManagerGroup: 193400000X SINGLE SPECIALTY GROUP 132700000X TN Primary

Addresses

NPPES NPI Registry

Primary practice location

5651 Frist Blvd
Suite 207
Hermitage, TN 37076-2054

Mailing address

5123 Virginia Way
A-23
Brentwood, TN 37027-7519
Phone (615) 732-0768

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2011.

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1417239757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 VIRGINIA WAY",
            "address_2": "A-23",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277519",
            "telephone_number": "615-732-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "SUITE 207",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762054",
            "telephone_number": "615-678-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXSLIM OF HERMITAGE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEXSLIM INTERNATIONAL, LLC",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-732-0768",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietary Manager",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.