KATHY QUALLS (NPI# 1124471818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124471818 |
| Entity Type | Individual |
| Full Name | KATHY QUALLS |
| Practice Address |
135 Walker St Sparta TN 38583-1725 |
| Practice Telephone | 9318362201 |
| Practice Fax Number | 9318363580 |
| Mailing Telephone | 9318362201 |
| Mailing Fax Number | 9318363580 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 87021 | TN | Nursing Service Providers |
| Street Address |
135 WALKER ST |
| City | SPARTA |
| State | TN |
| Zip Code | 38583-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811049331 | State of Tennessee | Public Health or Welfare | 135 Walker St, Sparta, TN 38583-1725 | 2007-01-17 |
| 1881220333 | Crystal Marie Prall | Registered Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2020-03-17 |
| 1255978375 | Chelsea D Mathieu | Registered Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2019-12-09 |
| 1174085443 | Kathryn Kowalski | Nurse Practitioner | 135 Walker St, Sparta, TN 38583-1725 | 2019-04-04 |
| 1447735311 | Nikki Realin | Nurse Practitioner | 135 Walker St, Sparta, TN 38583-1725 | 2018-09-26 |
| 1316438047 | Ginny Caudle | Registered Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2018-05-29 |
| 1740797448 | Kendra L Oliver | Licensed Practical Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2018-01-03 |
| 1609251099 | Regan Stewart | Registered Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2015-07-27 |
| 1023374634 | Molly Ann Kimmell | Registered Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2012-04-09 |
| 1447473491 | Kendra Lynn Jared | Registered Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769047 | Results-ast Jv, LLC | Physical Therapist | 421 Sewell Road, Sparta, TN 38583 | 2020-10-26 |
| 1588282917 | Rock House Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 25 N Spring St, Sparta, TN 38583 | 2020-07-13 |
| 1881215333 | Nancy Marie Rutherford | Physical Therapist | 421 Sewell Drive, Sparta, TN 38583 | 2020-05-06 |
| 1942798210 | Oscar Dale Sims | Pharmacist | 202 Sam Walton Drive, Sparta, TN 38583 | 2018-04-23 |
| 1932622644 | Medicherla Shyam Sunder Kumar | Internal Medicine | 401 Sewell Road, Sparta, TN 38583 | 2017-07-25 |
| 1972852341 | Jtp Enterprises, LLC | Clinic/Center | 287 Turntable Rd., Sparta, TN 38583 | 2012-08-31 |
| 1154619898 | Abbie Howell | Pharmacist | 460 West Bockman Way, Sparta, TN 38583 | 2011-07-15 |
| 1164556759 | Leslie Ann Reagan | Pharmacist | 207 West Town Plaza, Sparta, TN 38583 | 2007-03-15 |
| 1497809875 | Waymon Haston | Dentist | 9-a Hampton Drive, Sparta, TN 38583 | 2007-01-22 |
| 1407920127 | Jeffry Alan Belknap | Internal Medicine | 809 W Bockman Way, Sparta, TN 38583 | 2006-11-17 |
| Find all providers in zip 38583 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| 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 |
|---|---|---|---|---|
| 1235746033 | Roberta A Thomas | Licensed Practical Nurse | 399 S Union St Apt 15, Sparta, MI 49345-1534 | 2020-09-25 |
| 1679061394 | Chelsea Belle Miller | Licensed Practical Nurse | 1511 Indian Lakes Rd Ne, Sparta, MI 49345-9590 | 2018-04-27 |
| 1710293204 | Carly Jean Baker | Licensed Practical Nurse | 510 N Court St, Sparta, WI 54656-1708 | 2010-08-23 |
| 1902469356 | Brandy Loncore | Licensed Practical Nurse | 56 Washington St, Sparta, MI 49345-1322 | 2019-04-20 |
| 1740797448 | Kendra L Oliver | Licensed Practical Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2018-01-03 |
| 1487043196 | Eric Wagner | Licensed Practical Nurse | 526 W Main St, Sparta, WI 54656-2146 | 2015-01-19 |
| 1164768842 | Jenna Johnson | Licensed Practical Nurse | 510 N Court St, Sparta, WI 54656-1708 | 2012-12-27 |
| 1154679249 | Naomi Leis | Licensed Practical Nurse | 510 N Court St, Sparta, WI 54656-1708 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001784 | Natalie Raye Higginbotham | Licensed Practical Nurse | 505 E Ash St, La Follette, TN 37766-2529 | 2020-10-22 |
| 1750989521 | April Nicole Milam | Licensed Practical Nurse | 600 Jefferson Ave Ste 350, Memphis, TN 38105-4900 | 2020-10-14 |
| 1922606953 | Latonya Rochelle Addison | Licensed Practical Nurse | 8855 N Cortona Cir, Cordova, TN 38018-6978 | 2020-10-12 |
| 1487269437 | Cathy Jones | Licensed Practical Nurse | 2047 Dutch Valley Rd, Clinton, TN 37716-5121 | 2020-09-15 |
| 1902410855 | Jessica Adams | Licensed Practical Nurse | 1496 Dardon Ave, Memphis, TN 38116-8410 | 2020-09-08 |
| 1639782733 | Maresa Grines Huggins | Licensed Practical Nurse | 6939 7th Rd, Bartlett, TN 38135-2582 | 2020-08-28 |
| 1326659483 | Kristen Julia Rash | Licensed Practical Nurse | 1813 6th Ave, Knoxville, TN 37917-5830 | 2020-08-12 |
| 1215545942 | Rhonda Jean Jeffers | Licensed Practical Nurse | 3860 Helenwood Loop Rd, Helenwood, TN 37755-5562 | 2020-07-20 |
| 1881210953 | Jennifer Higginbotham | Licensed Practical Nurse | 1126 Cross Valley Rd, La Follette, TN 37766-4964 | 2020-06-24 |
| 1043833775 | Selena Myers | Licensed Practical Nurse | 2125 Old County Garage Rd, Helenwood, TN 37755-5385 | 2020-05-28 |
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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.