Organization Active NPI

T.a.B Health Services

  • Public Health or Welfare Agency
  • Ooltewah, TN
National Provider Identifier
1972268415
Registry record updated Oct 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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

Updated by the provider on Oct 31, 2021

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

Authorized official

Name
Tabatha AndersonNPI 1427248731
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20211119001267 TN Part B Supplier - Mass Immunization (Roster Biller Only) 8921497579 Practice locations: Ooltewah, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.