Univita of Tennessee, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

0000000510 Issued in TN

Legal business name

UNIVITA OF TENNESSEE, INC.

Practice address

3716 E Stone Dr
Kingsport, TN 37660-7112

Phone

(423) 392-9900

Fax

(423) 392-9922

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Douglas D Bryd, ESQ

Title

General Counsel

Phone

(754) 777-5321

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1851419469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 E STONE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607112",
            "telephone_number": "423-392-9900",
            "fax_number": "423-392-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 E STONE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607112",
            "telephone_number": "423-392-9900",
            "fax_number": "423-392-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVITA OF TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "BRYD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "754-777-5321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TN",
            "license": "0000000510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camellia N Tweed, FNP
• Andrew Tyson, M.D.
• Elaina Ulmer
• Kyle Edwin Umland, DC
• University of Tennessee
• Srinivas Uppatla, M.D
• Urology Associates of Kingsport, P. C.
• Using Athletics to Cope
• Amber Vachon
• Paul Vachon

• Customized Equipment (DME) in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Customized Equipment (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.