Individual provider Active NPI

Miles Sauteben, PSC.D

  • Religious Nonmedical Practitioner
  • Columbia, TN
National Provider Identifier
1780238006
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical PractitionerTaxonomy code 374K00000X
License
4361311 Issued in TN
Practice address
604 N High St
Columbia, TN 38401-3216
Phone
(615) 219-9924
NPI assigned
Jul 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Religious Nonmedical Practitioner 374K00000X 4361311 TN Primary

Addresses

Primary practice location

604 N High St
Columbia, TN 38401-3216

Mailing address

3085 Commonwealth Dr Apt 1333
Spring Hill, TN 37174-3127

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
4361311TNMDReligious Nonmedical Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1780238006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 COMMONWEALTH DR APT 1333",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371743127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N HIGH ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013216",
            "telephone_number": "615-219-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUTEBEN",
        "first_name": "MILES",
        "credential": "PSC.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": "TN",
            "license": "4361311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.