MISS SABRINA KATHLENE BRACKETT (NPI# 1104396431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104396431 |
| Entity Type | Individual |
| Full Name | MISS SABRINA KATHLENE BRACKETT |
| Practice Address |
1498 Boanerges Church Rd Old Fort TN 37362-7028 |
| Practice Telephone | 4234570639 |
| Mailing Telephone | 4234570639 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
TN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1498 BOANERGES CHURCH RD |
| City | OLD FORT |
| State | TN |
| Zip Code | 37362-7028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417359449 | Elizabeth Bowman | Clinic/Center | 138 Higdon Ln, Old Fort, TN 37362-7478 | 2014-09-22 |
| 1174925077 | River Counties Adult & Senior Services | Clinic/Center | 138 Higdon Ln, Old Fort, TN 37362-7478 | 2014-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463035 | Elizabeth Covert | Registered Nurse | 83 Covert Rd, Old Fort, NC 28762-7872 | 2020-10-07 |
| 1053878603 | Jared Douglas Gouge | Registered Nurse | 249 Laurel Ridge Dr, Old Fort, NC 28762-9712 | 2019-03-01 |
| 1417359449 | Elizabeth Bowman | Clinic/Center | 138 Higdon Ln, Old Fort, TN 37362-7478 | 2014-09-22 |
| 1760802110 | Eagle Chiropractic Family Wellness Center P A | Chiropractor | 262 Catawba Ave, Old Fort, NC 28762 | 2014-04-24 |
| 1124375480 | Elizabeth Lytle Norton | Pharmacist | 40 W Main St., Old Fort, NC 28762-2876 | 2012-08-06 |
| 1952691586 | John Robert Summerour | Pharmacist | 62 Skyline Dr, Old Fort, NC 28762-9677 | 2011-04-16 |
| 1417254327 | Sense-ability | Occupational Therapist | 691 Davistown Rd, Old Fort, NC 28762-8735 | 2011-02-13 |
| 1215230735 | Lisa A Gregg | Licensed Practical Nurse | 8072 Fort St., Old Fort, OH 44861-0078 | 2010-12-07 |
| 1619117033 | Old Fort Local School District | Local Education Agency (LEA) | 7635 N. County Road 51, Old Fort, OH 44861 | 2009-02-25 |
| 1942447354 | Jason Thomas Mckeown | Marriage & Family Therapist | 197 Deer Valley Drive, Old Fort, NC 28762 | 2009-01-08 |
| Find all providers in OLD FORT | ||||
| Taxonomy Code | 246RM2200X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Medical Laboratory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417369513 | Michael Mckinney | Technician, Pathology | 4109 Navaho Ave, Memphis, TN 38118-2165 | 2014-05-22 |
| 1326351818 | April Rena Wilson | Technician, Pathology | 1330 David Dr, Memphis, TN 38116-5606 | 2010-07-26 |
| 1669683835 | Bobbie Jean Brown | Technician, Pathology | 148 Turner Rd, Crossville, TN 38555-0016 | 2007-05-26 |
| 1356405120 | Holston Medical Group PC | Technician, Pathology | 105 W Stone Dr, 1h, Kingsport, TN 37660-3256 | 2006-12-19 |
Please comment or provide details below to improve the information on MISS SABRINA KATHLENE BRACKETT.
| 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.