Individual provider Active NPI

Ronda Schrimsher, CPRS

  • Peer Specialist
  • Tullahoma, TN
National Provider Identifier
1720437189
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
000-382 Issued in TN
Practice address
622 Wilson Ave
Tullahoma, TN 37388-3265
Phone
(931) 563-7954
Fax
(931) 563-7958
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 000-382 TN Primary

Addresses

Primary practice location

622 Wilson Ave
Tullahoma, TN 37388-3265

Mailing address

622 Wilson Ave
Tullahoma, TN 37388-3265
Phone (931) 563-7954

Other practice location 1

108 E Lauderdale St
Tullahoma, TN 37388
Phone (931) 222-4670

Other identifiers 1

IdentifierTypeStateIssuer
000-382OtherTNTENNESSEE DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000-382TNMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Healing Centers, LLC Current Accepting new patients

Locations

622 Wilson Ave
Tullahoma, TN 37388
Phone (931) 393-2362

108 E Lauderdale St
Tullahoma, TN 37388
Phone (615) 907-5037

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1720437189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 WILSON AVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883265",
            "telephone_number": "931-563-7954",
            "fax_number": "931-563-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 WILSON AVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883265",
            "telephone_number": "931-563-7954",
            "fax_number": "931-563-7958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 E Lauderdale St",
            "address_purpose": "LOCATION",
            "city": "Tullahoma",
            "state": "TN",
            "postal_code": "37388",
            "country_code": "US",
            "telephone_number": "931-222-4670",
            "fax_number": "931-222-4669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRIMSHER",
        "first_name": "RONDA",
        "credential": "CPRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "TN",
            "license": "000-382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES",
            "identifier": "000-382",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.