Organization Active NPI

Sleep Telemedicine Services, Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1942216601
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SLEEP TELEMEDICINE SERVICES, INC
Practice address
910 W Terrell Ave N
Fort Worth, TX 76104-3034
Phone
(800) 657-1920
Fax
(817) 820-0430
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Authorized official

Name
Ms. Ann C Reynolds
Title
VP
Phone
(800) 657-1920

Specialties & licenses 1

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

Addresses

Primary practice location

910 W Terrell Ave N
Fort Worth, TX 76104-3034

Mailing address

908 W Terrell Ave N
Fort Worth, TX 76104-3034
Phone (800) 657-1920

Other identifiers 6

IdentifierTypeStateIssuer
P00452376OtherKYRR MEDICARE KY
P00995634OtherKYRR MEDICARE KY
P01268066OtherFLRR MEDICARE FL
P01273982OtherNVRR MEDICARE NV
P00098084OtherNYRR MEDICARE NY
2369093MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, NY, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20091221000135 NV Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9234024597 Practice locations: Las Vegas, NV
O20101112000793 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9234024597 Practice locations: East Amherst, NY
O20130208000451 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9234024597 Practice locations: Maitland, FL

National Provider Directory

National Provider Directory

Locations

1355 Dave Ward Dr
Ste 102
Conway, AR 72034
Phone (346) 907-4805

1745 E Highway 50
Ste A
Clermont, FL 34711
Phone (352) 243-5526

800 S Orlando Ave
Maitland, FL 32751
Phone (352) 243-5526

800 W Lincoln Trail Blvd
Ste 106
Radcliff, KY 40160
Phone (800) 657-1920

2920 S Rainbow Blvd
Ste 140
Las Vegas, NV 89146
Phone (702) 222-1856

6105 Transit Rd
Ste 160
East Amherst, NY 14051
Phone (716) 691-6283

26121 US Route 11
Ste 5
Evans Mills, NY 13637
Phone (315) 486-3189

3117 Military Rd
Niagara Falls, NY 14304
Phone (716) 257-1254

2830 Mack Rd
Fairfield, OH 45014
Phone (513) 874-1350

3705 Parkway Ln
Hilliard, OH 43026
Phone (800) 633-2964

3966 Brown Park Dr
Ste E
Hilliard, OH 43026
Phone (614) 761-9553

910 W Terrell Ave N
Ft Worth, TX 76104
Phone (800) 633-2964

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1942216601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 W TERRELL AVE N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043034",
            "telephone_number": "800-657-1920",
            "fax_number": "817-820-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W TERRELL AVE N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043034",
            "telephone_number": "800-657-1920",
            "fax_number": "817-820-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP TELEMEDICINE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "800-657-1920",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE KY",
            "identifier": "P00452376",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE KY",
            "identifier": "P00995634",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE FL",
            "identifier": "P01268066",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE NV",
            "identifier": "P01273982",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE NY",
            "identifier": "P00098084",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2369093",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.