Steven Melvin Childers

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

1330 N Main St
Tennessee Ridge, TN 37178-4003

Phone

(931) 721-3312

Fax

(931) 721-3308

NPI assigned

Nov 28, 2018

Last updated

Nov 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1912477357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 N MAIN ST",
            "city": "TENNESSEE RIDGE",
            "state": "TN",
            "postal_code": "371784003",
            "telephone_number": "931-721-3312",
            "fax_number": "931-721-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N MAIN ST",
            "city": "TENNESSEE RIDGE",
            "state": "TN",
            "postal_code": "371784003",
            "telephone_number": "931-721-3312",
            "fax_number": "931-721-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "STEVEN",
        "middle_name": "MELVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Attendant Care Provider in Tennessee Ridge, TN
• Providers in Tennessee Ridge, TN by specialty
• Attendant Care Provider in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.