JERROLD ANTHONY WILLIAMS (NPI# 1063025104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063025104 |
| Entity Type | Individual |
| Full Name | JERROLD ANTHONY WILLIAMS |
| Practice Address |
109 Trevecca Ln Oak Ridge TN 37830-6616 |
| Practice Telephone | 8657764608 |
| Mailing Telephone | 8657764608 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
109 TREVECCA LN |
| City | OAK RIDGE |
| State | TN |
| Zip Code | 37830-6616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388702 | Oak Ridge Pharmacy | Pharmacy | 854 Main St W, Oak Ridge, TN 37830 | 2019-04-18 |
| 1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
| 1689153876 | Tapuwa Martin Chikowore | Dentist | 377 S Illinois Ave, Oak Ridge, TN 37830 | 2018-08-09 |
| 1710475660 | Oak Ridge Smiles Dentistry, PC | Dentist | 377 S. Illinois Ave., Oak Ridge, TN 37830 | 2018-04-26 |
| 1417344763 | Heather Cupp | Social Worker | 723 Emory Valley Road, Oak Ridge, TN 37830 | 2015-04-23 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| 1578838223 | Second Chance Recovery In Faith, Inc | Community/Behavioral Health | 234 W Tennessee Ave, Oak Ridge, TN 37830 | 2012-03-14 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1619263852 | Namratha Reddy Vontela | Internal Medicine | 200 New York Ave Ste 200, Oak Ridge, TN 37830 | 2011-06-27 |
| 1356658165 | Fred Lewis Stephens | Social Worker | 150 E Division Rd Ste 10, Oak Ridge, TN 37830 | 2010-09-01 |
| Find all providers in zip 37830 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999569 | Donumenite Chambers | Home Health Aide | 3222 Whispering Ln Apt 156, Memphis, TN 38115-3762 | 2020-10-14 |
| 1215543251 | Kenyatta Pugh | Home Health Aide | 1176 Vickery Ln Ste 200, Cordova, TN 38016-0631 | 2020-09-16 |
| 1013529924 | Clare Parker | Home Health Aide | 1238 Taft Hwy Ste 154, Signal Mountain, TN 37377-3295 | 2020-08-21 |
| 1033727284 | Tina Poindexter | Home Health Aide | 3728 Crosswood Cv, Memphis, TN 38127-4823 | 2020-07-14 |
| 1073130043 | Ashley Danielle Musselwhite | Home Health Aide | 720 Salem Church Rd, Waynesboro, TN 38485-4745 | 2020-06-25 |
| 1972125169 | Joyce Hobson | Home Health Aide | 4502 Tracy Lynn Dr, Memphis, TN 38125-6503 | 2020-05-11 |
| 1740801422 | Lakeisha Monique Lewis | Home Health Aide | 8211 Holston Dr, Memphis, TN 38125-3982 | 2020-05-04 |
| 1902425366 | Marissa Michelle Sharp | Home Health Aide | 6224 Western Avenue, Knoxville, TN 37921 | 2020-04-15 |
| 1457988792 | Joy Shelton | Home Health Aide | 2552 Poplar Ave Ste 101, Memphis, TN 38112-3834 | 2020-03-25 |
| 1275167124 | Genesis Massey | Home Health Aide | 3417 Lebanon Pike Apt G106, Hermitage, TN 37076-2023 | 2020-03-01 |
| 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.