1912987249 NPI number — ASSISTIVE TECHNOLOGY SOLUTIONS, LLC

Table of content: SARAH ELIZABETH THORNBERRY RDN (NPI 1376387183)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912987249 NPI number — ASSISTIVE TECHNOLOGY SOLUTIONS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASSISTIVE TECHNOLOGY SOLUTIONS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1912987249
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 330730
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:
37203-7505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-327-1780
Provider Business Mailing Address Fax Number:
615-327-0117

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1915 CHARLOTTE AVE
Provider Second Line Business Practice Location Address:
SUITE 225
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37203-2130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-327-1960
Provider Business Practice Location Address Fax Number:
615-327-0117
Provider Enumeration Date:
01/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
STEVE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
615-327-1960

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4034042 . This is a "TN CARE SELECT #" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 1454623 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 90008996 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4780840001 . This is a "PALMETTO REGION C #" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




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