Organization Active NPI

Theurapeutics

  • Health Maintenance Organization
  • Jackson, TN
National Provider Identifier
1528582046
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
6345 Issued in TN
Legal business name
THEURAPEUTICS
Practice address
4 N Hampton LN
Jackson, TN 38305-3924
Phone
(731) 616-7601
NPI assigned
Jul 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Tanika GillardNPI 1245754563
Title
Owner/Operator
Phone
(731) 616-7601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 6345 TN Primary

Addresses

Primary practice location

4 N Hampton LN
Jackson, TN 38305-3924

Mailing address

200 Stonebridge Blvd
Jackson, TN 38305-6028
Phone (731) 616-7601

Other names 1

  • Therapeutics L.M.T Former legal business name

National Provider Directory

National Provider Directory

Locations

200 Stonebridge Blvd
Jackson, TN 38305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528582046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STONEBRIDGE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056028",
            "telephone_number": "731-616-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 N HAMPTON LN",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053924",
            "telephone_number": "731-616-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEURAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GILLARD",
        "authorized_official_first_name": "TANIKA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "731-616-7601"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TN",
            "license": "6345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapeutics L.M.T",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.