1962549667 NPI number — MRS. KRISTIN MITCHELL VIARS PT

Table of content: MRS. KRISTIN MITCHELL VIARS PT (NPI 1962549667)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962549667 NPI number — MRS. KRISTIN MITCHELL VIARS PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VIARS
Provider First Name:
KRISTIN
Provider Middle Name:
MITCHELL
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MITCHELL
Provider Other First Name:
KRISTIN
Provider Other Middle Name:
LANE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1962549667
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/04/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6432 WORCHESTER DR
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:
37221-3710
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-668-5055
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
504 ELMINGTON
Provider Second Line Business Practice Location Address:
THE HEALTH CENTER AT RICHLAND PLACE
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-292-4900
Provider Business Practice Location Address Fax Number:
615-297-7524
Provider Enumeration Date:
01/31/2007

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: 225100000X , 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)





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