Organization Active NPI

Rhonda Acklen-Tawwater

Doing business as Professional Health Service

  • Oxygen Equipment & Supplies (DME)
  • Winchester, TN
National Provider Identifier
1629036512
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0491 Issued in TN
Legal business name
RHONDA ACKLEN-TAWWATER
Doing business as
Professional Health Service
Practice address
48 Sunrise Park
Winchester, TN 37398-2345
Phone
(931) 967-7991
Fax
(931) 967-9829
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Mrs. Rhonda Acklen Tawwater, RRT
Title
Owner
Phone
(931) 967-7991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0491 TN Primary

Addresses

Primary practice location

48 Sunrise Park
Winchester, TN 37398-2345

Mailing address

48 Sunrise Park
Winchester, TN 37398-2345
Phone (931) 967-7991

Other identifiers 1

IdentifierTypeStateIssuer
3551653MedicaidTN

Other names 1

  • PROFESSIONAL HEALTH SERVICE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1629036512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 SUNRISE PARK",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982345",
            "telephone_number": "931-967-7991",
            "fax_number": "931-967-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 SUNRISE PARK",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982345",
            "telephone_number": "931-967-7991",
            "fax_number": "931-967-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHONDA ACKLEN-TAWWATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "TAWWATER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "ACKLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-967-7991",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "0491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3551653",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL HEALTH SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.