Provider Demographics
NPI:1487028023
Name:A STEP AHEAD, LLC
Entity type:Organization
Organization Name:A STEP AHEAD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:RIEGER
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:615-383-0048
Mailing Address - Street 1:718 THOMPSON LN STE 115
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3612
Mailing Address - Country:US
Mailing Address - Phone:615-383-0048
Mailing Address - Fax:
Practice Address - Street 1:803 N THOMPSON LN
Practice Address - Street 2:SUITE 101B
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4329
Practice Address - Country:US
Practice Address - Phone:615-383-0048
Practice Address - Fax:615-383-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNORT0000000184335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
ASTE6255-0000OtherLINKA
TN1519384Medicaid
TN002366979501OtherUNITED HEALTH CARE COMMUNITY PLAN
83035OtherNORTHWOOD
TN1256593OtherAMERIGROUP
83035OtherNORTHWOOD