NPIMap

Organization Active NPI

Complexcare Solutions Ipa LLC

  • Public Health or Welfare Agency
  • Nashville, TN
National Provider Identifier
1538581046
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
7175553 Issued in NY
Legal business name
COMPLEXCARE SOLUTIONS IPA LLC
Practice address
443 Donelson Pike
Nashville, TN 37214
Phone
(615) 255-7759
NPI assigned
Jan 17, 2014
Last updated
Jan 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Veronica D. Pickens, CHC
Title
Senior Director, Compliance & Deleg
Phone
(301) 809-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 7175553 NY Primary

Addresses

Primary practice location

443 Donelson Pike
Nashville, TN 37214

Mailing address

4321 Collington Road
Bowie, MD 20716
Phone (301) 809-4000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1538581046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 COLLINGTON ROAD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "301-809-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 DONELSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37214",
            "telephone_number": "615-255-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEXCARE SOLUTIONS IPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, COMPLIANCE & DELEG",
        "authorized_official_telephone_number": "301-809-4000",
        "authorized_official_credential": "CHC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NY",
            "license": "7175553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.