Organization Active NPI

Southeastern Orthotics & Prosthetics, Inc

  • Orthotist
  • Cleveland, TN
National Provider Identifier
1447223557
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Legal business name
SOUTHEASTERN ORTHOTICS & PROSTHETICS, INC
Practice address
220 1St St NW
Cleveland, TN 37311-5006
Phone
(423) 559-0500
Fax
(423) 559-0541
NPI assigned
Feb 9, 2006
Organization subpart
Yes
Parent organization
SOUTHEASTERN ORTHOTICS & PROSTHETICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Lauren Vaughn
Title
VP of Operations
Phone
(615) 890-2160

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X Primary
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

220 1St St NW
Cleveland, TN 37311-5006

Mailing address

PO Box 305172
Nashville, TN 37230-5172
Phone (423) 559-0500

National Provider Directory

National Provider Directory
Part of
Southeastern Orthtoics

Locations

220 1st St NW
Cleveland, TN 37311
Phone (423) 559-0500

2080 Chambliss Ave NW
Ste 5
Cleveland, TN 37311
Phone (423) 479-9581

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1447223557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305172",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372305172",
            "telephone_number": "423-559-0500",
            "fax_number": "423-559-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 1ST ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115006",
            "telephone_number": "423-559-0500",
            "fax_number": "423-559-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN ORTHOTICS & PROSTHETICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEASTERN ORTHOTICS & PROSTHETICS",
        "enumeration_date": "2006-02-09",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "615-890-2160"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.