NPIMap

Organization Active NPI

Alexian Brothers Community Services

  • Health Maintenance Organization
  • Chattanooga, TN
National Provider Identifier
1609977909
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
12194 Issued in TN
Legal business name
ALEXIAN BROTHERS COMMUNITY SERVICES
Practice address
425 Cumberland St
Chattanooga, TN 37404-1905
Phone
(423) 698-0802
Fax
(423) 697-1752
NPI assigned
Sep 26, 2006
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
Mrs. Stephanie Sheridan, ANP, MSN, CDN
Title
Nurse Practitioner
Phone
(423) 698-0802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 12194 TN Primary

Addresses

Primary practice location

425 Cumberland St
Chattanooga, TN 37404-1905

Mailing address

425 Cumberland St
Chattanooga, TN 37404-1905
Phone (423) 698-0802

National Provider Directory

National Provider Directory
Tax ID family
Alexian Brothers Community Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

425 Cumberland St
Chattanooga, TN 37404
Phone (423) 698-0802

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609977909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CUMBERLAND ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041905",
            "telephone_number": "423-698-0802",
            "fax_number": "423-697-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CUMBERLAND ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041905",
            "telephone_number": "423-698-0802",
            "fax_number": "423-697-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIAN BROTHERS COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "423-698-0802",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ANP, MSN, CDN"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TN",
            "license": "12194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, 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.