Organization Active NPI

Nurseprofessionals

  • Licensed Practical Nurse
  • Cleveland, TN
National Provider Identifier
1669992285
Registry record updated Jun 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
59832 Issued in TN
Legal business name
NURSEPROFESSIONALS
Practice address
2901 Peerless Road
Cleveland, TN 37312
Phone
(423) 728-2562
NPI assigned
Jun 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2017

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

Authorized official

Name
Abigal Thomas
Title
Supervisor
Phone
(713) 979-2603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 59832 TN Primary

Addresses

Primary practice location

2901 Peerless Road
Cleveland, TN 37312

Mailing address

1955 Jordan Ave NW
Cleveland, TN 37311-1937
Phone (423) 303-0162

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498262400000",
    "number": "1669992285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 JORDAN AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111937",
            "telephone_number": "423-303-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 PEERLESS ROAD",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37312",
            "telephone_number": "423-728-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSEPROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-24",
        "last_updated": "2017-06-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ABIGAL",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "713-979-2603"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "59832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2017; 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.