Healthcare Provider Details

I. General information

NPI: 1174313886
Provider Name (Legal Business Name): VISITHEAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 MERRITT AVE
NASHVILLE TN
37203-6048
US

IV. Provider business mailing address

2413 BOOKER ST # B
NASHVILLE TN
37208-3430
US

V. Phone/Fax

Practice location:
  • Phone: 716-908-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MISS KRISTEN SPANO
Title or Position: OWNER
Credential: PA-C
Phone: 716-908-5000