Advanced Diagnostic Imaging, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADVANCED DIAGNOSTIC IMAGING, PC

Doing business as

Williams Foot Center

Practice address

370 Doolittle Rd Ste 4
Woodbury, TN 37190-1129

Phone

(615) 494-1234

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

ADVANCED DIAGNOSTIC IMAGING, PCAs reported in NPPES

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

Authorized official

Name

Susan Fenton

Title

Credentialing Supervisor

Phone

(615) 851-6033

Specialties & licenses 1

Addresses

Other names 1

• Williams Foot Center Doing business as

Part of

Advanced Diagnostic Imaging

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1750976452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-851-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 DOOLITTLE RD STE 4",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901129",
            "telephone_number": "615-494-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTIC IMAGING, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED DIAGNOSTIC IMAGING, PC",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "615-851-6033"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams Foot Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiel Abele
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• Hunter Brianne Alderson, CNA
• Melissa Ann Allen, M.T.
• Susan Bennett Allison, D.D.S.
• Kelly Alviar

• Durable Medical Equipment & Medical Supplies in Woodbury, TN
• Providers in Woodbury, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.