Organization Active NPI

JT Iom LLC

  • Medical Specialty Clinic/Center
  • Nashville, TN
National Provider Identifier
1689964009
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
JT IOM LLC
Practice address
209 10TH Ave S
Suite 411
Nashville, TN 37203-4144
Phone
(615) 712-9574
Fax
(615) 730-8475
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Dr. Christina Cook, PH.D., M.S.
Title
Ceo/President
Phone
(615) 712-9574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

209 10TH Ave S
Suite 411
Nashville, TN 37203-4144

Mailing address

209 10TH Ave S
Suite 411
Nashville, TN 37203-4144
Phone (615) 712-9574

National Provider Directory

National Provider Directory

Locations

209 10th Ave S
Ste 411
Nashville, TN 37203
Phone (615) 712-9574

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1689964009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 10TH AVE S",
            "address_2": "SUITE 411",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034144",
            "telephone_number": "615-712-9574",
            "fax_number": "615-730-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 10TH AVE S",
            "address_2": "SUITE 411",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034144",
            "telephone_number": "615-712-9574",
            "fax_number": "615-730-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JT IOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "615-712-9574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., M.S."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "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 Apr 19, 2011; 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.