Active NPI
Valisho Margarine Battle, TRANSPORTATION
- Driver
- Chattanooga, TN
National Provider Identifier
1760945760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 074540023
- Practice address
- 3505 Brainerd Rd Ste 2/3
Chattanooga, TN 37411-2709 - Phone
- (423) 291-6164
- NPI assigned
- Apr 8, 2019
- Last updated
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 074540023 | TN | Primary |
Addresses
Primary practice location
3505 Brainerd Rd Ste 2/3
Chattanooga, TN 37411-2709
Mailing address
4040 Alexis Cir
Chattanooga, TN 37406-1281
Phone (423) 291-6164
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
| License | State | Type | Specialty |
|---|---|---|---|
| 074540023 | TN | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentle Care Supportive Services LLC | Current | Accepting new patients | |
| Gentle Care Supportive Services LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Non-emergency Medical Transport (VAN)
- Chattanooga, TN
- NPI 1326685801
-
- Home Health Aide
- East Ridge, TN
- NPI 1396681011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1760945760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 ALEXIS CIR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374061281",
"telephone_number": "423-291-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 BRAINERD RD STE 2/3",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374112709",
"telephone_number": "423-291-6164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTLE",
"first_name": "VALISHO",
"middle_name": "MARGARINE",
"credential": "TRANSPORTATION",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TN",
"license": "074540023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.