1538170857 NPI number — MS. KAREN RUTH NASH LCSW

Table of content: MS. KAREN RUTH NASH LCSW (NPI 1538170857)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538170857 NPI number — MS. KAREN RUTH NASH LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NASH
Provider First Name:
KAREN
Provider Middle Name:
RUTH
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WHEELER
Provider Other First Name:
KAREN
Provider Other Middle Name:
RUTH
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1538170857
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1718 PATTERSON ST
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:
37203-2926
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-327-1085
Provider Business Mailing Address Fax Number:
615-963-4733

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1900 CHURCH ST
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37203-2234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-963-4732
Provider Business Practice Location Address Fax Number:
615-963-4733
Provider Enumeration Date:
08/11/2006

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: 1041C0700X , with the licence number:  765 , 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: 3730393 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




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