STATE OF TENNESSEE (NPI# 1023232949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023232949 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE |
| Other Organization Name | EAST TENN REGIONAL OFFICE - OTHER CLINICS |
| Practice Address |
1522 Cherokee Trl Knoxville TN 37920-2205 |
| Mailing Address |
Po Box 59019 Knoxville TN 37950-9019 |
| Practice Telephone | 8655495241 |
| Practice Fax Number | 8655945833 |
| Mailing Telephone | 8655495241 |
| Mailing Fax Number | 8655945833 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-08-23 |
| Authorized Official Name | MARIANNE FANEUIL SHARP (REGIONAL ACCOUNTANT) |
| Authorized Official Telephone | 8655495266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 444-7933 | 05 |
| Other Name | Type Code |
|---|---|
| East Tenn Regional Office - Other Clinics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417337056 | State of Tennessee | Physical Therapist | 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 | 2015-06-08 |
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1871997163 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 803 Redbud Dr, Greeneville, TN 37743-6141 | 2014-10-15 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1114330545 | State of Tennessee | Occupational Therapist | 301 Stewarts Ferry Pike, Didd Middle Tn Seating and Positioning Clinic, Nashville, TN 37214-3340 | 2014-06-03 |
| 1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
| 1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| Street Address |
1522 CHEROKEE TRL |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760470850 | Michael Creed Garrett | Dentist | 1522 Cherokee Trl, Knoxville, TN 37920-2205 | 2005-10-12 |
| 1477847192 | Holly Chase Brasfield | Registered Nurse | 1522 Cherokee Trl, Knoxville, TN 37920-2205 | 2011-05-31 |
| 1568609063 | Deborah B Vandergriff | Registered Nurse | 1522 Cherokee Trl, Knoxville, TN 37920-2205 | 2009-01-21 |
| 1922283456 | Julianne Allen | Registered Nurse | 1522 Cherokee Trl, Knoxville, TN 37920-2205 | 2008-01-03 |
| 1952517856 | Georgia Lou Pearson | Registered Nurse | 1522 Cherokee Trl, Knoxville, TN 37920-2205 | 2007-05-15 |
| 1184836140 | Ivy Dolores Leffew | Nurse Practitioner | 1522 Cherokee Trl, Knoxville, TN 37920-2205 | 2007-05-04 |
| 1134341571 | Carole Anne Martin | Registered Nurse | 1522 Cherokee Trl, Knoxville, TN 37920-2205 | 2007-05-03 |
| 1861615551 | State of Tennessee | Clinic/Center | 1522 Cherokee Trl, Knoxville, TN 37920-2205 | 2007-04-11 |
| 1679692826 | Dawn R Butler | Audiologist | 1522 Cherokee Trl, Knoxville, TN 37920-2205 | 2007-03-28 |
| 1790809861 | Sandy K Halford | Registered Nurse | 1522 Cherokee Trl, Knoxville, TN 37920-2205 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861795106 | Knox County Health Dept. | Clinic/Center | 140 Dameron Ave, Knoxville, TN 37917-6413 | 2010-12-08 |
| 1861615551 | State of Tennessee | Clinic/Center | 1522 Cherokee Trl, Knoxville, TN 37920-2205 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225375538 | Blondy Shupp | Clinic/Center | 1310 Elyse Dr, Christiana, TN 37037-1403 | 2013-01-07 |
| 1275804908 | Metro Public Health Department | Clinic/Center | 311 23rd Avenue North, Nashville, TN 37203-1511 | 2012-01-26 |
| 1598894354 | Bedford County Health Department | Clinic/Center | 1606 Collins Hollow Rd, Lewisburg, TN 37091-4058 | 2007-03-05 |
| 1306991286 | State of Tennessee | Clinic/Center | 301 Mcghee St, Maryville, TN 37801-6811 | 2007-01-24 |
| 1669527230 | State of Tennessee | Clinic/Center | 3469 New Highway 68, Madisonville, TN 37354 | 2007-01-24 |
| 1033264916 | State of Tennessee | Clinic/Center | 719 Middle Creek Rd, Sevierville, TN 37862-5016 | 2007-01-24 |
| 1598285991 | Darnell Reginald Brooks | Clinic/Center | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2017-06-27 |
| 1356712673 | Montgomery County Health Department | Clinic/Center | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2015-10-13 |
| 1164803623 | Dandelion Diversified Care | Clinic/Center | 8295 Tournament Dr, Memphis, TN 38125-8906 | 2015-06-10 |
| 1124414396 | Metropolitan Government of Nashville and Davidson City Emps | Clinic/Center | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2015-04-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.