Active NPI
T.a.B Health Services
- Public Health or Welfare Agency
- Ooltewah, TN
National Provider Identifier
1972268415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- T.A.B HEALTH SERVICES
- Practice address
- 9428 Wandering Way
Ooltewah, TN 37363-6999 - Phone
- (423) 316-6966
- NPI assigned
- Oct 31, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tabatha Anderson
- Title
- Owner
- Phone
- (423) 316-6966
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
9428 Wandering Way
Ooltewah, TN 37363-6999
Mailing address
9428 Wandering Way
Ooltewah, TN 37363-6999
Phone (423) 316-6966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211119001267 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 8921497579 | Practice locations: Ooltewah, TN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Demorest, GA
- NPI 1427248731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635638400000",
"number": "1972268415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9428 WANDERING WAY",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636999",
"telephone_number": "423-316-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9428 WANDERING WAY",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636999",
"telephone_number": "423-316-6966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T.A.B HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-31",
"last_updated": "2021-10-31",
"certification_date": "2021-10-31",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "TABATHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-316-6966"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ooltewah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; 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.