NPIMap

Organization Active NPI

Department of Intellectual and Developmental Disabilities, State of TN

  • Public Health or Welfare Agency
  • Nashville, TN
National Provider Identifier
1629436241
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, STATE OF TN
Practice address
400 Deaderick St
9TH Floor, Citizen Plaza Building
Nashville, TN 37243-1403
Phone
(615) 532-6530
NPI assigned
Feb 10, 2016
Last updated
Feb 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Lance Iverson
Title
Deputy Commissioner, Finance & Admi
Phone
(615) 253-6710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

400 Deaderick St
9TH Floor, Citizen Plaza Building
Nashville, TN 37243-1403

Mailing address

400 Deaderick St
9TH Floor, Citizen Plaza Building
Nashville, TN 37243-1403
Phone (615) 532-6530

Other identifiers 1

IdentifierTypeStateIssuer
0445973MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Greene Valley Developmental Center Pharmacy202 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

400 Deaderick St
Fl 9
Nashville, TN 37243
Phone (615) 532-6530

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1629436241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DEADERICK ST",
            "address_2": "9TH FLOOR, CITIZEN PLAZA BUILDING",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372431403",
            "telephone_number": "615-532-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DEADERICK ST",
            "address_2": "9TH FLOOR, CITIZEN PLAZA BUILDING",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372431403",
            "telephone_number": "615-532-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, STATE OF TN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "DEPUTY COMMISSIONER, FINANCE & ADMI",
        "authorized_official_telephone_number": "615-253-6710"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445973",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.