Active NPI
Tina Rice
- Community Health Worker
- Hendersonville, TN
National Provider Identifier
1831501931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- OTA0000002004
- Practice address
- 674 E Main St
Hendersonville, TN 37075-2680 - Phone
- (615) 824-4552
- NPI assigned
- May 22, 2014
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OTA0000002004 | TN | Primary |
Addresses
Primary practice location
674 E Main St
Hendersonville, TN 37075-2680
Mailing address
109 Harris LN Apt 10
Gallatin, TN 37066-8584
Phone (615) 473-6462
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 |
|---|---|---|---|
| OTA0000002004 | TN | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400716800000",
"number": "1831501931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 HARRIS LN APT 10",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370668584",
"telephone_number": "615-473-6462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "674 E MAIN ST",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752680",
"telephone_number": "615-824-4552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "TINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-22",
"last_updated": "2014-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TN",
"license": "OTA0000002004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.