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WAYSPRING CLINIC IA LLC
Complete NPI Record 1598546210
Internal Medicine in Nashville, TN

NPI Status: Active since October 09, 2023

Contact Information

209 10TH AVE S STE 350
NASHVILLE, TN
ZIP 37203
Phone: (615) 345-3555

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider First Line Business Practice Location Address
  12. Provider Business Practice Location Address City Name
  13. Provider Business Practice Location Address State Name
  14. Provider Business Practice Location Address Postal Code
  15. Provider Business Practice Location Address Country Code If outside U S
  16. Provider Business Practice Location Address Telephone Number
  17. Provider Enumeration Date
  18. Last Update Date
  19. Authorized Official Last Name
  20. Authorized Official First Name
  21. Authorized Official Title or Position
  22. Authorized Official Telephone Number
  23. Healthcare Provider Taxonomy Code 1
  24. Healthcare Provider Primary Taxonomy Switch 1
  25. Is Organization Subpart
  26. Parent Organization LBN
  27. Parent Organization TIN
  28. Healthcare Provider Taxonomy Group 1
  29. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1598546210. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1598546210
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Employer Identification Number EIN: UNAVAIL
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
The city name in the location address of the provider being identified.
Provider First Line Business Mailing Address: 209 10TH AVE S STE 350
The State code in the location of the provider being identified.
Provider Business Mailing Address City Name: NASHVILLE
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Mailing Address State Name: TN
The country code in the location address of the provider being identified.
Provider Business Mailing Address Postal Code: 372034166
The telephone number associated with the location address of the provider being identified.
Provider Business Mailing Address Country Code If outside U S : US
The fax number associated with the location address of the provider being identified.
Provider Business Mailing Address Telephone Number: 6153453555
The date the provider was assigned a unique identifier (assigned an NPI).
Provider First Line Business Practice Location Address: 209 10TH AVE S STE 350
The date that a record was last updated or changed.
Provider Business Practice Location Address City Name: NASHVILLE
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider Business Practice Location Address State Name: TN
The first name of the authorized official.
Provider Business Practice Location Address Postal Code: 372034166
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The title or position of the authorized official.
Provider Business Practice Location Address Telephone Number: 6153453555
The 10-position telephone number of the authorized official.
Provider Enumeration Date: 10/9/2023
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 10/9/2023
The date that a record was last updated or changed.
Authorized Official Last Name: HEYWOOD
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: ALICE
The first name of the authorized official.
Authorized Official Title or Position: CHIEF LEGAL OFFICER
The title or position of the authorized official.
Authorized Official Telephone Number: 6153453555
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 207R00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Organization Subpart: Y
Parent Organization LBN: WAYSPRING CLINIC IA LLC
Parent Organization TIN: UNAVAIL
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
NPI Certification Date: 10/9/2023