NUTRITIONAL SUPPORT SERVICES NPI 1689601809

NPI Information

NPI: 1689601809
Provider Name: NUTRITIONAL SUPPORT SERVICES
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
9000 EXECUTIVE PARK DRIVE
SUITE A 301
KNOXVILLE, TN
ZIP 37923
Phone: (865) 690-9900
Get Directions

NUTRITIONAL SUPPORT SERVICES is a parenteral and enteral nutrition durable medical equipment medical supplies in Knoxville, TN. NUTRITIONAL SUPPORT SERVICES NPI is 1689601809. The provider is registered as an organization entity type.

The provider's business location address is:

9000 EXECUTIVE PARK DRIVE
SUITE A 301
KNOXVILLE, TN
ZIP 37923-656
Phone: (865) 690-9900
Fax: (865) 531-7016

The provider's authorized official is Terry Leeman .
The authorized official title is Executive Director and has the following contact phone number (865) 690-9900.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 1/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		No
2	332BN1400X	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies	No
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	40111	MEDICAID	MISSISSIPPI
2	073622502	MEDICAID	TEXAS
3	100002960A	MEDICAID	KANSAS
4	3545979	MEDICAID	TENNESSEE
5	622293603	MEDICAID	MISSOURI
6	7611272	MEDICAID	MINNESOTA
7	009000730	MEDICAID	ALABAMA
8	100010580A	MEDICAID	INDIANA
9	01305375	MEDICAID	NEW YORK
10	1354317	MEDICAID	LOUISIANA
11	90262056	MEDICAID	KENTUCKY
12	9143513	MEDICAID	VIRGINIA
13	DM0001	MEDICAID	SOUTH CAROLINA
14	10MF49	OTHER		ALLIANCE BCBS
15	00571986A	MEDICAID	GEORGIA
16	30762373	MEDICAID	NEW HAMPSHIRE
17	112948716	MEDICAID	ARKANSAS
18	209086400	MEDICAID	FLORIDA
19	80966900	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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