INFUSION EXPRESS OF TENNESSEE, PC
Complete NPI Record 1003379108
Clinic/Center in Hendersonville, TN
Active since April 08, 2019CLIA 44D2313684 · Waiver
Complete NPI Dataset
This page contains the complete raw NPPES record for Infusion Express Of Tennessee, Pc (NPI 1003379108), a clinic/center organization in Hendersonville, TN. All 38 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1003379108 Field 1/38
- 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 Field 2/38
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/38
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: INFUSION EXPRESS OF TENNESSEE, PC Field 4/38
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: Not available Field 5/38
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 6 Field 6/38
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 214 CENTERVIEW DR STE 250 Field 7/38
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: BRENTWOOD Field 8/38
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: TN Field 9/38
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 370273248 Field 10/38
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/38
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 6156103733 Field 12/38
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 8442060796 Field 13/38
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 1006 GLENBROOK WAY Field 14/38
- 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.
- Provider Second Line Business Practice Location Address: STE 130 Field 15/38
- 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.
- Provider Business Practice Location Address City Name: HENDERSONVILLE Field 16/38
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: TN Field 17/38
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 37075 Field 18/38
- 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 Field 19/38
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9139482020 Field 20/38
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8446272518 Field 21/38
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: SEIBELS Field 24/38
- 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: WILLIAM Field 25/38
- The first name of the authorized official.
- Authorized Official Title or Position: CFO Field 26/38
- The title or position of the authorized official.
- Authorized Official Telephone Number: 6156103727 Field 27/38
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261Q00000X Field 28/38
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 29/38
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: NA Field 30/38
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 01 Field 31/38
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: TN Field 32/38
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier Issuer 1: COMMERCIAL Field 33/38
- The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
- Other Provider Identifier 2: NA Field 34/38
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 2: 01 Field 35/38
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier Issuer 2: NA Field 36/38
- The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
- Is Organization Subpart: N Field 37/38
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Other Organization Names 1
Additional business and trade names this provider has on file with the NPPES registry.
IVX Health Doing Business As
Name 1/1Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Secondary Practice Locations 17
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
7443 Commons Blvd Ste 114
Location 1/17Chattanooga, TN 37421-2895 · Phone (423) 558-0677
1922 Shady Brook St
Location 2/17Columbia, TN 38401-3989 · Phone (615) 933-5659
365 E Economy Rd
Location 3/17Morristown, TN 37814-3326 · Phone (865) 862-4557 · Fax (865) 862-4556
54 Exeter Rd Ste B
Location 4/17Jackson, TN 38305-1985 · Phone (865) 862-4557 · Fax (865) 862-4556
1880 N Eastman Rd Ste 150
Location 5/17Kingsport, TN 37664-2382 · Phone (865) 862-4557 · Fax (865) 862-4556
10910 Kingston Pike Unit 101
Location 6/17Knoxville, TN 37934-2948 · Phone (865) 862-4557
2028 W Poplar Ave Ste 113
Location 7/17Collierville, TN 38017-0618 · Phone (901) 696-2440
2108 Medical Center Pkwy Ste I
Location 8/17Murfreesboro, TN 37129-3876 · Phone (615) 624-9251 · Fax (888) 615-1445
5111 Peter Taylor Park Dr Ste 500
Location 9/17Brentwood, TN 37027-2398 · Phone (913) 222-2020 · Fax (844) 627-2518
681 S White Station Rd Ste 103
Location 10/17Memphis, TN 38117-4561 · Phone (901) 969-1531 · Fax (888) 615-1445
11609 Parkside Dr
Location 11/17Knoxville, TN 37934-2660 · Phone (865) 205-9590
464 N Parkway Ste A
Location 12/17Jackson, TN 38305-2810 · Phone (731) 540-0220
206 Cool Springs Blvd Ste 105
Location 13/17Franklin, TN 37067-2677 · Phone (615) 577-4840 · Fax (888) 615-1445
6216 Highland Place Way Ste 101
Location 14/17Knoxville, TN 37919-4068 · Phone (865) 243-8100
2249 Sandstone Dr
Location 15/17Morristown, TN 37814-2593 · Phone (423) 352-4063
495 Dunlop Ln Ste 115
Location 16/17Clarksville, TN 37040-5296 · Phone (931) 548-0068
4007 Lebanon Pike
Location 17/17Hermitage, TN 37076-2013 · Phone (615) 367-1444 · Fax (888) 615-1445
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