MRS. BILLIE JO KENNETT (NPI# 1124085519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124085519 |
| Entity Type | Individual |
| Full Name | MRS. BILLIE JO KENNETT |
| Credential | APN |
| Practice Address |
215 Hawks Rd Suite 6 Martin TN 38237-2708 |
| Practice Telephone | 7315873454 |
| Practice Fax Number | 7315873460 |
| Mailing Telephone | 7315873454 |
| Mailing Fax Number | 7315873460 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2015-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APN0000005195 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3341684 | 05 |
| Street Address |
215 HAWKS RD SUITE 6 |
| City | MARTIN |
| State | TN |
| Zip Code | 38237-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629517834 | Sarah Elizabeth Huffstetler | Nurse Practitioner | 215 Hawks Rd, Suite 6, Martin, TN 38237-2708 | 2017-02-21 |
| 1184084626 | Aiesha Clayton | Physician Assistant | 215 Hawks Rd, Suite 6, Martin, TN 38237-2708 | 2016-02-25 |
| 1427460278 | Ayana Lakulia Chism | Social Worker | 215 Hawks Rd, Suite 5, Martin, TN 38237-2708 | 2014-05-28 |
| 1689018244 | Agnes Garcia Dickenson | Physical Therapist | 215 Hawks Rd, Martin, TN 38237-2708 | 2013-04-24 |
| 1063791531 | New Perspectives, LLC. | Counselor | 215 Hawks Rd, Suite 5, Martin, TN 38237-2708 | 2011-08-15 |
| 1831305572 | Stephen D Raines | Durable Medical Equipment & Medical Supplies | 215 Hawks Rd, Martin, TN 38237-2708 | 2007-05-16 |
| 1992919096 | Amiee Foley Stooksberry | Nurse Practitioner | 215 Hawks Rd, Suite 6, Martin, TN 38237-2708 | 2007-05-09 |
| 1497898407 | Sharon P Page | Nurse Practitioner | 215 Hawks Rd, Suite 3, Martin, TN 38237-2708 | 2007-02-15 |
| 1255473823 | Tracy Nassar | Counselor | 215 Hawks Rd, Suite 5, Martin, TN 38237-2708 | 2007-02-12 |
| 1780725770 | Laura Toney | Counselor | 215 Hawks Rd, Martin, TN 38237-2708 | 2007-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034385 | Megan Ables | Pharmacist | 2253 Mount Pelia Road, Martin, TN 38237 | 2018-12-06 |
| 1336669159 | Alex Reamy | Specialist/Technologist | 15 Mt. Pelia Road, Martin, TN 38237 | 2017-06-22 |
| 1134655731 | West Tennessee Rehabilitation Hospital, LLC | Medicare Defined Swing Bed Unit | 180 Mount Pelia Road, Martin, TN 38237 | 2017-05-03 |
| 1275901381 | William Zimmerman | Chiropractor | 633 Haygood Rd, Martin, TN 38237 | 2015-09-04 |
| 1588080683 | Cory S Davis | Chiropractor | 116 Masonic Dr, Martin, TN 38237 | 2014-03-13 |
| 1063837946 | Tolliver-scott & Associates | Private Vehicle | 113 Kenny Road, Martin, TN 38237 | 2014-02-28 |
| 1982932711 | Anne M Fritcher | Physician Assistant | 189 Mount Pelia Rd, Martin, TN 38237 | 2009-12-07 |
| 1295062669 | Laura C Plunk | Behavioral Analyst | University Commons, Martin, TN 38237 | 2009-11-05 |
| 1710210497 | Stacie M. Callins | Specialist | 180 Mt. Pelia Rd., Healthsouth Cane Creek Rehab. Hospital, Martin, TN 38237 | 2009-09-11 |
| 1275739930 | Diagnostic Imaging Consultants,ltd | Radiology | 215 Hawks Rd Ste 4, Martin, TN 38237 | 2007-06-21 |
| Find all providers in zip 38237 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757960 | Stephanie Cook | Nurse Practitioner | 8532 Wood Mills Dr W, Cordova, TN 38016-6169 | 2020-10-16 |
| 1245838713 | Rachel Goddard Claiborne | Nurse Practitioner | 7705 Poplar Ridge Dr, Nashville, TN 37221-2326 | 2020-10-15 |
| 1992303457 | Winnie Warun Kiri | Nurse Practitioner | 4715 Bonny Oaks Dr Apt 308, Chattanooga, TN 37416-3825 | 2020-10-15 |
| 1841807625 | Emily Marie Leidig | Nurse Practitioner | 271 Medical Park Blvd Fl 1, Bristol, TN 37620-7455 | 2020-09-25 |
| 1144831397 | Dana Lynn Marchetti | Nurse Practitioner | 113 Meadowvue Dr, Hendersonville, TN 37075-4212 | 2020-08-12 |
| 1770115925 | Lorne Avery Schwartz | Nurse Practitioner | 5606b Pennsylvania Ave, Nashville, TN 37209-1439 | 2020-02-05 |
| 1477196004 | Brie Lajeret | Nurse Practitioner | 800 Weatherly Dr Ste 201b, Clarksville, TN 37043-8958 | 2019-10-27 |
| 1851946560 | Virginia Elise Schlitt | Nurse Practitioner | 514 Crystal Springs Cir, Johnson City, TN 37615-2359 | 2019-08-08 |
| 1265991871 | Jane Holt | Nurse Practitioner | 647 Dunlop Ln Ste 101, Clarksville, TN 37040-5165 | 2019-03-14 |
| 1902378581 | Revital Health and Wellness Clinics Pllc | Nurse Practitioner | 695 President Pl Ste 200, Smyrna, TN 37167-5681 | 2018-12-20 |
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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.