NPIMap

Organization Active NPI

Tennesee Department of Health

  • Public Health or Welfare Agency
  • Clarksville, TN
National Provider Identifier
1649259367
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
DS 4582 Issued in TN
Legal business name
TENNESEE DEPARTMENT OF HEALTH
Practice address
330 Pageant LN
Clarksville, TN 37040-3854
Phone
(931) 648-7280
Fax
(931) 648-7299
NPI assigned
Jan 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Andrea Shanks
Title
Credentialing Coordinator
Phone
(615) 650-7053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X DS 4582 TN Primary

Addresses

Primary practice location

330 Pageant LN
Clarksville, TN 37040-3854

Mailing address

1008 Rambling Brook Rd
Nashville, TN 37218-3608
Phone (615) 299-0750

National Provider Directory

National Provider Directory
Tax ID family
Kingsport Health Center202 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

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649259367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 RAMBLING BROOK RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372183608",
            "telephone_number": "615-299-0750",
            "fax_number": "615-299-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PAGEANT LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403854",
            "telephone_number": "931-648-7280",
            "fax_number": "931-648-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESEE DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHANKS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "615-650-7053",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TN",
            "license": "DS 4582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.