JENNITH BRACKMAN (NPI# 1104012426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104012426 |
| Entity Type | Individual |
| Full Name | JENNITH BRACKMAN |
| Credential | OTR/L |
| Practice Address |
1001 Sunset Trl Kingston Springs TN 37082-5239 |
| Practice Telephone | 6156040666 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1651 | TN | Other Service Providers |
| Street Address |
1001 SUNSET TRL |
| City | KINGSTON SPRINGS |
| State | TN |
| Zip Code | 37082-5239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518019876 | Crystal Gail Mangrum | Pharmacy Technician | 111 W. Kingston Springs Rd, Ste 103, Kingston Springs, TN 37082 | 2007-01-17 |
| 1487735585 | Marty Gentry | Pharmacist | 111 West Kingston Springs Road, Suite 103, Kingston Springs, TN 37082 | 2006-10-17 |
| 1952509572 | Columbia Medical Group - The Frist Clinic Inc | Family Medicine | 111 West Kingston Springs Road, Kingston Springs, TN 37082 | 2007-07-05 |
| 1881891927 | Christian F Vissers Md PC | Orthopaedic Surgery | 111 West Kingston Springs Road, Suite 104, Kingston Springs, TN 37082 | 2007-07-02 |
| 1508136094 | Julia Bethurum Murphy | Counselor | 1165 Bob White Rd, Kingston Springs, TN 37082-5113 | 2011-12-30 |
| 1215151915 | Linda Rucki | Chiropractor | 172 Luyben Hills Rd, Kingston Springs, TN 37082-8903 | 2007-04-12 |
| 1588021711 | Cynthia Borum | Nurse Practitioner | 448 Harpeth Meadows Dr, Kingston Springs, TN 37082-8919 | 2016-01-19 |
| 1346367018 | Kathryn Brooke Allen | Specialist | 396 Harpeth Meadows Dr, Kingston Springs, TN 37082-8919 | 2007-03-26 |
| 1316940893 | Jeffrey Lundy | Family Medicine | 471 Magnolia Ct, Kingston Springs, TN 37082-8931 | 2005-05-27 |
| 1184031494 | Minda Brackman | Occupational Therapist | 1070 Peery Rd, Kingston Springs, TN 37082-8950 | 2014-07-18 |
| Find all providers in zip 37082 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346367018 | Kathryn Brooke Allen | Specialist | 396 Harpeth Meadows Dr, Kingston Springs, TN 37082-8919 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1487270963 | Daphne Hall | Specialist | 2504 Mount Moriah Rd Bldg D, Memphis, TN 38115-1519 | 2020-06-22 |
| 1235772435 | Cranial Prosthesis & Hair Loss Solutions LLC | Specialist | 310 S Walnut Bend Rd Ste 12, Cordova, TN 38018-7282 | 2019-10-21 |
| 1013481597 | Tiffany Powell | Specialist | 679 S Mendenhall Rd, Memphis, TN 38117-5212 | 2019-01-17 |
| 1619450160 | Lawrence Allan Claiborne | Specialist | 370 Morgan Rd, Greeneville, TN 37745-3118 | 2018-09-11 |
| 1740761949 | Anita Camille Henderson | Specialist | 718 Valencia Dr, Clarksville, TN 37043-2058 | 2018-08-24 |
| 1104311943 | I Am Tiara Mitchell | Specialist | 3913 Brainerd Rd, Chattanooga, TN 37411-3733 | 2018-06-25 |
| 1245735067 | Xclusive Kutz Barbershop | Specialist | 3610 Park Ave, Memphis, TN 38111-5630 | 2018-03-25 |
| 1083122642 | Daniela Kam | Specialist | 2615 Medical Center Pkwy Ste 1560, Murfreesboro, TN 37129-3758 | 2018-01-17 |
| 1871006924 | Jama'l Oliver | Specialist | 2038 Tynewood Dr, Clarksville, TN 37042-5285 | 2017-11-12 |
| Find all providers with the same taxonomy | ||||
| City | KINGSTON SPRINGS |
| Zip Code | 37082 |
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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.