Organization Active NPI

Kramer Davis Tennessee LLC

  • Specialist
  • Hermitage, TN
National Provider Identifier
1558005405
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KRAMER DAVIS TENNESSEE LLC
Practice address
3901 Central Pike Ste 500
Hermitage, TN 37076-3419
Phone
(615) 933-7300
NPI assigned
Apr 26, 2022
Organization subpart
Yes
Parent organization
KRAMER DAVIS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Tanyika Wan, RHIT
Title
VP Administrative Services
Phone
(812) 701-0213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3901 Central Pike Ste 500
Hermitage, TN 37076-3419

Mailing address

9200 Shelbyville Rd Ste 531
Louisville, KY 40222-5132
Phone (812) 701-0213

Other names 1

  • Kramer Davis Health Doing business as

National Provider Directory

National Provider Directory

Locations

9200 Shelbyville Rd
Ste 531
Louisville, KY 40222

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1558005405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SHELBYVILLE RD STE 531",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225132",
            "telephone_number": "812-701-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CENTRAL PIKE STE 500",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763419",
            "telephone_number": "615-933-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAMER DAVIS TENNESSEE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KRAMER DAVIS LLC",
        "enumeration_date": "2022-04-26",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "TANYIKA",
        "authorized_official_title_or_position": "VP ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "812-701-0213",
        "authorized_official_credential": "RHIT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kramer Davis Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kramer Davis Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.