NPIMap

Organization Active NPI

Elite Sports Medicine and Orthopaedic Center, PLC

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1679804462
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000014586 Issued in TN
Legal business name
ELITE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, PLC
Practice address
2004 Hayes St Ste 200
Nashville, TN 37203-2646
Phone
(615) 284-2000
Fax
(615) 284-2003
NPI assigned
Jan 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Claudia J Lagacy
Title
Office Manager
Phone
(615) 284-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X APN0000014586 TN Primary

Addresses

Primary practice location

2004 Hayes St Ste 200
Nashville, TN 37203-2646

Mailing address

2004 Hayes St
Ste 200
Nashville, TN 37203-2646
Phone (615) 284-2000

National Provider Directory

National Provider Directory
Tax ID family
Elite Sports Medicine and Orthopaedic Center PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679804462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST",
            "address_2": "STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032646",
            "telephone_number": "615-284-2000",
            "fax_number": "615-284-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032646",
            "telephone_number": "615-284-2000",
            "fax_number": "615-284-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LAGACY",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-284-2000"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000014586",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; 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.