Organization Active NPI

Amazing Sleep, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Shelbyville, TN
National Provider Identifier
1871887638
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
AMAZING SLEEP, LLC
Practice address
213 Lane Pkwy
Shelbyville, TN 37160-3108
Phone
(931) 684-9002
Fax
(931) 684-9007
NPI assigned
Jun 8, 2011
Last updated
Mar 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Mr. Keith Bolton
Title
Owner
Phone
(931) 684-9002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU Primary

Addresses

Primary practice location

213 Lane Pkwy
Shelbyville, TN 37160-3108

Mailing address

PO Box 397
Shelbyville, TN 37162-0397
Phone (931) 684-9002

Other identifiers 2

IdentifierTypeStateIssuer
1524463MedicaidTN
4308720OtherBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1871887638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371620397",
            "telephone_number": "931-684-9002",
            "fax_number": "931-684-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 LANE PKWY",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603108",
            "telephone_number": "931-684-9002",
            "fax_number": "931-684-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING SLEEP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-684-9002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524463",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4308720",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.