Trident Vein Center PLLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

TRIDENT VEIN CENTER PLLC

Practice address

2040 Reserve Blvd Ste B
Spring Hill, TN 37174-0735

Phone

(615) 455-3000

NPI assigned

Feb 24, 2021

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Cunningham, MDNPI 1245208115

Title

Owner

Phone

(615) 455-3000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24056/brand/1/csg/1/fhir/r4

Practitioners 3

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.

• Thomas Moffatt Cunningham III, MD

  • Vascular & Interventional Radiology Physician
  • Spring Hill, TN
  • NPI 1245208115
  Medicare reassignment NPD Authorized official
• Liza Collins Emch, AGACNP

  • Acute Care Nurse Practitioner
  • Spring Hill, TN
  • NPI 1023560406
  Medicare reassignment NPD
• Bruce Masland Bell, M.D.

  • Vascular & Interventional Radiology Physician
  • Brentwood, TN
  • NPI 1174889521
  NPD

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1477147080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 RESERVE BLVD STE B",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371740735",
            "telephone_number": "615-455-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 RESERVE BLVD STE B",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371740735",
            "telephone_number": "615-455-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Health Park Dr Ste 450",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370275867",
            "country_code": "US",
            "telephone_number": "615-455-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIDENT VEIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-455-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TN Home Care LLC
• Jennifer J Todd, PH.D, L.P.C.
• Miranda Todd, RDN, LDN
• Linda Tolley
• Rebecca Michelle Towle
• Kelly Tucker, LCSW
• Anna Underwood, M.S., CCC-SLP
• Zoie Grace Underwood
• Ashton Undseth
• Joseph Montgomery Upton

• Vascular & Interventional Radiology Physician in Spring Hill, TN
• Providers in Spring Hill, TN by specialty
• Vascular & Interventional Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.