Tina I Reddy, LADAC II, NCAC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1070 Issued in TN

Practice address

320 Hospital Dr
Madison, TN 37115-4287

Phone

(615) 992-6504

NPI assigned

Nov 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gatehouse Treatment of Tennessee, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Madison, TN
  • NPI 1134763717
  NPD
• Life Services for Recovery, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Nashua, NH
  • NPI 1811383276
  NPD (past)

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1639835572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HOSPITAL DR",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154287",
            "telephone_number": "615-992-6504",
            "fax_number": "615-800-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HOSPITAL DR",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154287",
            "telephone_number": "615-992-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "TINA",
        "middle_name": "I",
        "credential": "LADAC II, NCAC I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84-2779012",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rams Pharmacy LLC
• Kenneth R. Ramsey, CRNA
• William Zirkle Ray, PHARM D
• Laura S Reaves
• Erin Rech, PHARMD
• Nancy R Reed, CMSW
• Emily Reeve, PMHNP-BC
• Regal Health Transportation LLC
• Restoration Residential Services, LLC
• Larry Reynolds

• Addiction (Substance Use Disorder) Counselor in Madison, TN
• Providers in Madison, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.