Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VANDERBILT INTEGRATED PROVIDERS
NPI 1255463949
Nurse Practitioner in Tullahoma, TN

Q: What is Vanderbilt Integrated Providers's NPI number?

The NPI number for Vanderbilt Integrated Providers is 1255463949. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is doing business as Pediatric Associates.

Q: What is Vanderbilt Integrated Providers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 09, 2007

1440 CEDAR LN, TULLAHOMA, TN 37388(615) 393-7056 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vanderbilt Integrated Providers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VANDERBILT INTEGRATED PROVIDERS (NPI 1255463949), doing business as Pediatric Associates, is a healthcare organization registered as a nurse practitioner in Tullahoma, Tennessee and active in the NPI registry since March 2007. The organization maintains a secondary practice location in Hopkinsville and lists Wendy Monaci, Vice President, as its authorized official.

NPPES Registry Identity

NPI1255463949

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameVANDERBILT INTEGRATED PROVIDERS

Location Address1440 CEDAR LNTullahoma, TN 37388-2485

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · Fax (615) 322-5048

Phone(615) 393-7056

Organization SubpartYesParent: Vanderbilt Integrated Providers, Llc

Authorized OfficialWendy MonaciVice President · (615) 936-3944

Enumeration DateMarch 9, 2007

Last NPPES UpdateJune 29, 2026

NPPES CertifiedJune 29, 2026

✔ NPI 1255463949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

1440 CEDAR LN, Tullahoma, TN 37388

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Other Names 1

Doing Business AsPediatric Associates

Secondary Practice Location 1

Location 14235 Fort Campbell BlvdHopkinsville, KY 42240-9339 · Phone (270) 885-8445

Other Identifiers 2

MedicaidQ063257TN

Medicaid78900800KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0326113

Vip Dba Pediatric Associates · Hopkinsville, KY

Expired · Aug 8, 2026

CLIA Number18D0326113

Laboratory TypePhysician Office

Certificate Effective DateAugust 9, 2024

Certificate Expiration DateAugust 8, 2026

Laboratory DirectorDr. Adebukola Ajagunna

Laboratory Phone(270) 885-8445

Laboratory LocationVip Dba Pediatric Associates4235 Fort Campbell Blvd, Hopkinsville, KY 42240

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA ELAINE PAINTER FNP-C

Nurse Practitioner (Family)

1440 CEDAR LN
TULLAHOMA, TN 37388

Coffee County (931) 461-1101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vanderbilt Integrated Providers's NPI number?

The NPI number for Vanderbilt Integrated Providers is 1255463949. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is doing business as Pediatric Associates.

Where is Vanderbilt Integrated Providers located?

Vanderbilt Integrated Providers is located at 1440 Cedar Ln, Tullahoma, TN 37388. The listed phone number is (615) 393-7056.

What is Vanderbilt Integrated Providers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Vanderbilt Integrated Providers was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.