Slender Wrap of Chattanooga

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

9807 Issued in TN

Legal business name

SLENDER WRAP OF CHATTANOOGA

Doing business as

Venus Med Spa

Practice address

5211 Highway 153
Suite D
Hixson, TN 37343-4956

Phone

(423) 802-9848

NPI assigned

Oct 18, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Juergen Mildenberger

Title

President

Phone

(423) 802-4948

Specialties & licenses 1

Addresses

Other names 1

• Venus Med Spa Doing business as

Locations

Practitioners 1

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

• Jennifer Lake, LMT

  • Massage Therapist
  • Hixson, TN
  • NPI 1467799940
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1548513286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 HIGHWAY 153",
            "address_2": "SUITE D",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434956",
            "telephone_number": "423-802-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 HIGHWAY 153",
            "address_2": "SUITE D",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434956",
            "telephone_number": "423-802-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLENDER WRAP OF CHATTANOOGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "MILDENBERGER",
        "authorized_official_first_name": "JUERGEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-802-4948",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "9807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Venus Med Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Lynn Sims, M.S. SLP-CCC
• Tracy Sims
• Lloyd Farris Sittig, PHARM.D.
• Wesley Blake Skelton, PHARMD
• Kaylee Paige Skipper
• Charlotte A. Smalley, APRN, BC
• Dawn Smith Gibbs, LMSW
• Amanda Smith
• Anson Smith
• Craig Smith, H.I.S.

• Ambulatory Surgical Clinic/Center in Hixson, TN
• Providers in Hixson, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.