Organization Active NPI

Minnie Vance

  • Specialist
  • Chattanooga, TN
National Provider Identifier
1811154412
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD1768 Issued in TN
Legal business name
MINNIE VANCE
Practice address
2507 McCallie Ave
Chattanooga, TN 37404-3304
Phone
(423) 624-8226
Fax
(423) 624-2246
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Minnie Ratliff Vance, M.D.
Title
Owner,Operator
Phone
(423) 624-8226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD1768 TN Primary

Addresses

Primary practice location

2507 McCallie Ave
Chattanooga, TN 37404-3304

Mailing address

2507 McCallie Ave
Chattanooga, TN 37404-3304
Phone (423) 624-8226

National Provider Directory

National Provider Directory

Locations

2507 McCallie Ave
Chattanooga, TN 37404
Phone (423) 624-4846

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1811154412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043304",
            "telephone_number": "423-624-8226",
            "fax_number": "423-624-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043304",
            "telephone_number": "423-624-8226",
            "fax_number": "423-624-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNIE VANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "MINNIE",
        "authorized_official_middle_name": "RATLIFF",
        "authorized_official_title_or_position": "OWNER,OPERATOR",
        "authorized_official_telephone_number": "423-624-8226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD1768",
            "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 May 21, 2008; 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.