Active NPI
Accountability Healthcare Inc
- Nurse Practitioner
- Clarksville, TN
National Provider Identifier
1487921763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- ACCOUNTABILITY HEALTHCARE INC
- Practice address
- 900 Professional Park Dr
Clarksville, TN 37040-5244 - Phone
- (252) 985-1371
- Fax
- (252) 467-2339
- NPI assigned
- Nov 30, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Hollis
- Title
- Vice President
- Phone
- (252) 985-1371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
900 Professional Park Dr
Clarksville, TN 37040-5244
Mailing address
PO Box 7756
Rocky Mount, NC 27804-0756
Phone (262) 985-1371
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322611200000",
"number": "1487921763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7756",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278040756",
"telephone_number": "262-985-1371",
"fax_number": "252-467-2339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PROFESSIONAL PARK DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405244",
"telephone_number": "252-985-1371",
"fax_number": "252-467-2339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCOUNTABILITY HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A",
"authorized_official_last_name": "HOLLIS",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "252-985-1371"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Ace Non-Emergency Medical Tranport
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- Active 4 Life Chiropractic LLC
- Active Solutions Therapy
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.