1306538236 NPI number — LINDSEY ANN TAYLOR CREECH DO, MBA, MPH

Table of content: LINDSEY ANN TAYLOR CREECH DO, MBA, MPH (NPI 1306538236)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306538236 NPI number — LINDSEY ANN TAYLOR CREECH DO, MBA, MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CREECH
Provider First Name:
LINDSEY
Provider Middle Name:
ANN TAYLOR
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DO, MBA, MPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TAYLOR
Provider Other First Name:
LINDSEY
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1306538236
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/24/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
719 THOMPSON LN STE 38500
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37204-3615
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-936-1212
Provider Business Mailing Address Fax Number:
615-936-9431

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
719 THOMPSON LN STE 38500
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37204-3615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-936-1212
Provider Business Practice Location Address Fax Number:
615-936-9431
Provider Enumeration Date:
05/22/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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