Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cumberland Kidney Specialist

Organization Nephrology Physician · NPI 1922248756

Cumberland Kidney Specialist is a Nephrology Physician in Cookeville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009
Specialties on file
2

Practice location Address checks out

117 N Hickory Ave Ste 200
Cookeville, TN 38501-2424
Phone: (931) 646-0880
Fax: (866) 834-5618
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 040111 (TN)

Record details

NPI number1922248756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anju Mendiratta — Physician / Sole Mbr · (931) 646-0880
NPI enumeratedMarch 6, 2009
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address117 N Hickory Ave Ste 200, Cookeville, TN 38501-2424

Other providers in Cookeville