NPIMap

Organization Active NPI

Department of Intellectual and Developmental Disabilities, State of TN

  • Exclusive Provider Organization
  • Nashville, TN
National Provider Identifier
1972124618
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, STATE OF TN
Practice address
315 Deaderick St FL 8
Nashville, TN 37238-3000
Phone
(615) 253-6710
NPI assigned
May 5, 2020
Last updated
May 5, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, STATE OF TNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Andy Kidd
Title
Deputy Commissioner
Phone
(615) 253-6710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

315 Deaderick St FL 8
Nashville, TN 37238-3000

Mailing address

315 Deaderick St FL 8
Nashville, TN 37238-3000
Phone (615) 253-6710

Other names 1

  • DIDD Katie Beckett Waiver Other name

National Provider Directory

National Provider Directory
Tax ID family
Maury Co Healt H Dept202 organizations share this tax ID, including this one
Part of
Maury Co Healt H Dept

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1972124618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 DEADERICK ST FL 8",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372383000",
            "telephone_number": "615-253-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 DEADERICK ST FL 8",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372383000",
            "telephone_number": "615-253-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, STATE OF TN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, STATE OF TN",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "DEPUTY COMMISSIONER",
        "authorized_official_telephone_number": "615-253-6710"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIDD Katie Beckett Waiver",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 5, 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.