Organization Active NPI

Tsi Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Cedar Rapids, IA
National Provider Identifier
1972660744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0444513 Issued in IA
Legal business name
TSI MEDICAL SUPPLIES
Practice address
3315 1St Ave SE
Cedar Rapids, IA 52402-6003
Phone
(319) 861-3322
Fax
(319) 861-3326
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Angie Nowak
Title
Administrator
Phone
(319) 861-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0444513 IA Primary

Addresses

Primary practice location

3315 1St Ave SE
Cedar Rapids, IA 52402-6003

Mailing address

3315 1St Ave SE
Cedar Rapids, IA 52402-6003
Phone (319) 861-3322

Other identifiers 1

IdentifierTypeStateIssuer
0444513MedicaidIA

National Provider Directory

National Provider Directory

Locations

3315 1st Ave SE
Cedar Rapids, IA 52402
Phone (319) 861-3322

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972660744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 1ST AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026003",
            "telephone_number": "319-861-3322",
            "fax_number": "319-861-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 1ST AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026003",
            "telephone_number": "319-861-3322",
            "fax_number": "319-861-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSI MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "319-861-3322",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "0444513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444513",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.