Provider Demographics
NPI:1598483166
Name:ALIVIO HEALTH PLLC
Entity Type:Organization
Organization Name:ALIVIO HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MACSWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-S
Authorized Official - Phone:615-964-7307
Mailing Address - Street 1:5045 OLD HICKORY BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2581
Mailing Address - Country:US
Mailing Address - Phone:615-964-7307
Mailing Address - Fax:615-964-7332
Practice Address - Street 1:5045 OLD HICKORY BLVD STE 105
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2581
Practice Address - Country:US
Practice Address - Phone:615-964-7307
Practice Address - Fax:615-649-7332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1841891991Medicaid