Nimble Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NIMBLE CORPORATION

Practice address

28369 Davis Pkwy Ste 403
Warrenville, IL 60555-3036

Phone

(215) 834-7930

NPI assigned

Jun 24, 2020

Last updated

Jul 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rakesh Vedavyas

Title

President

Phone

(215) 834-7930

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1871119966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 HEATHERFIELD CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652098",
            "telephone_number": "215-834-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28369 DAVIS PKWY STE 403",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553036",
            "telephone_number": "215-834-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMBLE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "VEDAVYAS",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-834-7930"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.