MINDFUL RECOVERY ADDICTION SPECIALIST, LLC
NPI 1497252357
Family Medicine - Addiction Medicine in Oneida, TN

Active since April 09, 2018
20463 ALBERTA ST, ONEIDA, TN 37841(423) 286-3292 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 3, 2018, Apr 9, 2018 (2 updates tracked since 2018).

About Mindful Recovery Addiction Specialist, Llc NPPES

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

MINDFUL RECOVERY ADDICTION SPECIALIST, LLC (NPI 1497252357) is a healthcare organization registered as an addiction medicine in Oneida, Tennessee and active in the NPI registry since April 2018. The organization lists Paul Caudill, Enrollment Consultant, as its authorized official.

NPPES Registry Identity

NPI1497252357
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameMINDFUL RECOVERY ADDICTION SPECIALIST, LLC
Location Address20463 ALBERTA STOneida, TN 37841
Mailing Address20463 Alberta StOneida, TN 37841-3509 · (423) 286-3292
Organization SubpartNo
Authorized OfficialPaul CaudillEnrollment Consultant · (615) 521-9097
Enumeration DateApril 9, 2018
Last NPPES UpdateJuly 3, 20182 updates tracked since enumeration
NPI 1497252357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
20463 ALBERTA ST, Oneida, TN 37841

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

Other Providers at the Same Location NPPES

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

Podiatrist (Foot & Ankle Surgery)
20463 ALBERTA ST
ONEIDA, TN 37841

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 Mindful Recovery Addiction Specialist, LLC's NPI number?

The NPI number for Mindful Recovery Addiction Specialist, LLC is 1497252357. It was assigned to this organization in the NPPES registry on April 9, 2018.

Where is Mindful Recovery Addiction Specialist, LLC located?

Mindful Recovery Addiction Specialist, LLC is located at 20463 Alberta St, Oneida, TN 37841. The listed phone number is (423) 286-3292.

What is Mindful Recovery Addiction Specialist, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Mindful Recovery Addiction Specialist, LLC was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.