Healthcare Provider Details

I. General information

NPI: 1437526597
Provider Name (Legal Business Name): DEPARTMENT OF DISABILITY AND AGING, TENNESSEE EARLY INTERVENTION SYSTEM (TEIS)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2015
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 JAMES ROBERTSON PKWY FL 2
NASHVILLE TN
37243-1204
US

IV. Provider business mailing address

500 JAMES ROBERTSON PKWY FL 2
NASHVILLE TN
37243-1204
US

V. Phone/Fax

Practice location:
  • Phone: 800-535-9725
  • Fax:
Mailing address:
  • Phone: 800-535-9725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: KELLY HYDE
Title or Position: ASSISTANT COMMISSIONER, TEIS
Credential:
Phone: 615-532-4160