Active NPI
Michelle Marie Moncier
- Durable Medical Equipment & Medical Supplies
- Bristol, TN
National Provider Identifier
1497975569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0000000692
- Legal business name
- MICHELLE MARIE MONCIER
- Practice address
- 1145 Volunteer Pkwy
Sutie 5
Bristol, TN 37620-4652 - Phone
- (423) 764-2713
- NPI assigned
- Apr 30, 2007
- 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
- Ms. Michelle Marie Moncier
- Title
- President
- Phone
- (423) 764-2713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0000000692 | TN | Primary |
Addresses
Primary practice location
1145 Volunteer Pkwy
Sutie 5
Bristol, TN 37620-4652
Mailing address
1145 Volunteer Parkway
Ste 5
Bristol, TN 37620
Phone (423) 764-2713
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TN0101 | Other | TN | UNITED HEALTHCARE OF THE |
| 1454205 | Medicaid | TN |
Other names 1
- STATE OF FRANKLIN MOBILITY PRODUCTS
National Provider Directory
National Provider DirectoryLocations
1145 Volunteer Pkwy
Ste 5
Bristol, TN 37620
Phone (423) 764-2713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1497975569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 VOLUNTEER PARKWAY",
"address_2": "STE 5",
"city": "BRISTOL",
"state": "TN",
"postal_code": "37620",
"telephone_number": "423-764-2713",
"fax_number": "423-968-5481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 VOLUNTEER PKWY",
"address_2": "SUTIE 5",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376204652",
"telephone_number": "423-764-2713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE MARIE MONCIER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-30",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "MONCIER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-764-2713",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "0000000692",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OF THE",
"identifier": "TN0101",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1454205",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "STATE OF FRANKLIN MOBILITY PRODUCTS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.