Organization Active NPI

Michelle Marie Moncier

  • Durable Medical Equipment & Medical Supplies
  • Bristol, TN
National Provider Identifier
1497975569
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000000692 Issued in TN
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

Updated by the provider on Jun 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
TN0101OtherTNUNITED HEALTHCARE OF THE
1454205MedicaidTN

Other names 1

  • STATE OF FRANKLIN MOBILITY PRODUCTS Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.