1427917350 NPI number — LOLITA R GADDES

Table of content: LOLITA R GADDES (NPI 1427917350)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427917350 NPI number — LOLITA R GADDES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GADDES
Provider First Name:
LOLITA
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427917350
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/16/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6200 DEL SOL DR WHITE CREEK
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHITE CREEK
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37189
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-500-0446
Provider Business Mailing Address Fax Number:
615-500-0446

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6200 DEL SOL DR WHITE CREEK
Provider Second Line Business Practice Location Address:
6200 DEL SOL DR WHITE CREEK
Provider Business Practice Location Address City Name:
WHITE CREEK
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37189
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-500-0446
Provider Business Practice Location Address Fax Number:
615-500-0446
Provider Enumeration Date:
01/16/2026

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: 101YP1600X , with the licence number:  9433 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 9433 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com