NPIMap

Organization Active NPI

Wellvana New Mexico LLC

  • Exclusive Provider Organization
  • Nashville, TN
National Provider Identifier
1942883301
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
WELLVANA NEW MEXICO LLC
Practice address
40 Burton Hills Blvd Ste 100
Nashville, TN 37215-6291
Phone
(615) 293-1372
NPI assigned
May 4, 2021
Organization subpart
Yes
Parent organization
WELLVANA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Michael Platek
Title
Chief Strategy Officer
Phone
(615) 293-1372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

40 Burton Hills Blvd Ste 100
Nashville, TN 37215-6291

Mailing address

40 Burton Hills Blvd Ste 100
Nashville, TN 37215-6291

National Provider Directory

National Provider Directory
Tax ID family
Wellvana New Mexico LLC2 organizations share this tax ID, including this one
Part of
Wellvana Health

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1942883301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156291",
            "telephone_number": "615-293-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLVANA NEW MEXICO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLVANA HEALTH",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "PLATEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "615-293-1372"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.