Mdsi, Inc.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MDSI, INC.

Practice address

2529 Beechwood Dr
Elizabethton, TN 37643-5062

Phone

(423) 512-1245

Fax

(423) 297-1014

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Michael Reeves Miller

Title

President

Phone

(423) 512-1245

Specialties & licenses 1

Addresses

Other names 1

• Senior Health Services Other name

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1598073330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 BEECHWOOD DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376435062",
            "telephone_number": "423-512-1245",
            "fax_number": "423-297-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 BEECHWOOD DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376435062",
            "telephone_number": "423-512-1245",
            "fax_number": "423-297-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDSI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "REEVES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-512-1245",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.