JEFFERY JOHN GUAJARDO (NPI# 1063433944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063433944 |
| Entity Type | Individual |
| Full Name | JEFFERY JOHN GUAJARDO |
| Credential | APRN, BC |
| Practice Address |
6216 Airpark Dr Chattanooga TN 37421-2988 |
| Practice Telephone | 4238990024 |
| Practice Fax Number | 4238995688 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2009-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
APN0000011557 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | CIGNA | 2255114 | 01 |
| Street Address |
6216 AIRPARK DR |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-2988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427046200 | Marzi Lisa Radpour-wiley | Psychologist | 6216 Airpark Dr, Chattanooga, TN 37421-2988 | 2005-10-06 |
| 1972986586 | Lindsey Erin Mccray | Nurse Practitioner | 6216 Airpark Dr, Chattanooga, TN 37421-2988 | 2015-06-30 |
| 1609295906 | Morgan Lyle Turner | Registered Nurse | 6216 Airpark Dr, Chattanooga, TN 37421-2988 | 2014-04-15 |
| 1720307978 | Amity Jill Malloy | Nurse Practitioner | 6216 Airpark Dr, Chattanooga, TN 37421-2988 | 2010-05-27 |
| 1508084864 | Prameet Jagdish Bhushan | Psychiatry & Neurology | 6216 Airpark Dr, Chattanooga, TN 37421-2988 | 2007-04-23 |
| 1861535866 | Jennifer Ann Gardner Cummins | Counselor | 6216 Airpark Dr, Chattanooga, TN 37421-2988 | 2007-02-15 |
| 1548327737 | Martha Bynum Pittman | Psychologist | 6216 Airpark Dr, Chattanooga, TN 37421-2988 | 2007-01-03 |
| 1922083971 | Allen Lee Solomon | Psychiatry & Neurology | 6216 Airpark Dr, Behavorial Health Assoc, Chattanooga, TN 37421 | 2005-12-13 |
| 1235114299 | James Earl Brown | Psychologist | 6216 Airpark Dr, Behavioral Health Associates, Chattanooga, TN 37421 | 2005-12-13 |
| 1649255514 | Behavioral Health Associates P C | Psychologist | 6216 Airpark Dr, Chattanooga, TN 37421-2988 | 2005-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336320886 | Minnie Bernice Troupe | Clinical Nurse Specialist | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2007-11-26 |
| 1629030085 | Carol Orr | Clinical Nurse Specialist | 601 Cumberland St, Helen Ross Mcnabb Center, Chattanooga, TN 37404-1922 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144734963 | La'wanda Y. Jenkins | Clinical Nurse Specialist | 814 Wren Rd Ste A, Goodlettsville, TN 37072-2312 | 2017-12-01 |
| 1841663705 | Rhonda Lou Thompson | Clinical Nurse Specialist | 1160 Chickadee Cir, Hermitage, TN 37076-5627 | 2015-11-01 |
| 1568691566 | Diana C. Baker | Clinical Nurse Specialist | 5179 Normandy Ln, Memphis, TN 38117-2850 | 2009-07-11 |
| 1689886376 | Debra J. Partee | Clinical Nurse Specialist | 222 Gocchaux Hall, 461 21st Avenue South, Nashville, TN 37240-0001 | 2007-05-04 |
| 1285743286 | Lucy Kniseley | Clinical Nurse Specialist | Student Health Center University of Tn, 1800 Volunteer Blvd, Knoxville, TN 37996-0001 | 2006-08-30 |
| 1376988220 | Wendy K Wilson | Clinical Nurse Specialist | 2011 Ashwood Ave, Nashville, TN 37212-5015 | 2013-05-06 |
| 1144509837 | Anita Waid | Clinical Nurse Specialist | 880 Madison Ave, Memphis, TN 38103-3409 | 2011-08-11 |
| 1114175163 | Linda Marie Mcbride | Clinical Nurse Specialist | 425 5th Ave N, Cordell Hull Building-dmhdd 3rd Floor, Nashville, TN 37243-3400 | 2008-09-03 |
| 1831306562 | Susan D. Swanson-moore | Clinical Nurse Specialist | 300 20th Ave N, 9th Floor, Nashville, TN 37203-2131 | 2007-05-16 |
| 1164647574 | Susan K Ratcliffe | Clinical Nurse Specialist | 5201 Charlotte Ave, Nashville, TN 37209 | 2007-04-13 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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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.