MR. FREDERICK KIRK MCDERMOTT (NPI# 1134285125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134285125 |
| Entity Type | Individual |
| Full Name | MR. FREDERICK KIRK MCDERMOTT |
| Credential | M.A., LPC, MHSP |
| Practice Address |
13810 Hwy 28 Suite B Whitwell TN 37397 |
| Mailing Address |
Po Box 493 Whitwell TN 37397-0493 |
| Practice Telephone | 4234218350 |
| Practice Fax Number | 4236587180 |
| Mailing Telephone | 4234218350 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC0000001984 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 5441168 | 05 |
| Street Address |
13810 HWY 28 SUITE B |
| City | WHITWELL |
| State | TN |
| Zip Code | 37397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760972202 | Specialized Behavior Solutions | Behavioral Analyst | 360 Looneys Creek Dr, Whitwell, TN 37397 | 2018-05-10 |
| 1295811156 | Hooper Drug Store | Pharmacist | 325 E. Spring Street Po 129, Whitwell, TN 37397-0129 | 2006-10-31 |
| 1477627768 | Whitwell Pharmacy Inc | Pharmacy | 13810 Highway 28, Whitwell, TN 37397-5365 | 2006-11-20 |
| 1689961104 | Whitwell Senior Living, LLC | Assisted Living Facility | 13960 Highway 28, Whitwell, TN 37397-5366 | 2011-07-05 |
| 1942291638 | Jung Tae Park | Family Medicine | 13851 Highway 28, Whitwell, TN 37397-5373 | 2005-11-02 |
| 1225409147 | Whitwell Medical Plaza | Clinic/Center | 13851 Highway 28, Whitwell, TN 37397-5373 | 2015-10-19 |
| 1356745848 | Kimberly Gean Redfearn | Nurse Practitioner | 13851 Highway 28, Whitwell, TN 37397-5373 | 2014-10-13 |
| 1083982243 | Brenda Ross Md PC | Family Medicine | 13851 Highway 28, Whitwell, TN 37397-5373 | 2011-12-02 |
| 1043271091 | Nonie Ivey Linder | Social Worker | 720 Teague Rd, Whitwell, TN 37397-5982 | 2006-03-29 |
| 1447471909 | Ingrid Rene Long | Registered Nurse | 295 Scissomtown Rd, Whitwell, TN 37397-6601 | 2007-05-01 |
| Find all providers in zip 37397 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497508 | Emily Hand | Counselor | 1200 Southwest Ave, Johnson City, TN 37604-6520 | 2020-11-08 |
| 1629678909 | Jared S. Fuson | Counselor | 104 John Sevier Ave, Jonesborough, TN 37659-1402 | 2020-10-27 |
| 1629677307 | Samantha Kate Wacenske | Counselor | 1925 Ashland City Rd Apt 1422, Clarksville, TN 37043-1610 | 2020-10-22 |
| 1407454291 | Candis Maria Cochran | Counselor | 10740 Faith Promise Ln, Knoxville, TN 37931-1304 | 2020-10-14 |
| 1083211429 | Pamela Christine Lamb | Counselor | 7985 Greenbriar Rd, Talbott, TN 37877-8906 | 2020-10-08 |
| 1528665148 | Kathryn Rose Wood | Counselor | 1220 Harwood Dr Apt B, Nashville, TN 37206-1207 | 2020-10-06 |
| 1356948509 | Meagan H Jones | Counselor | 3328 Mallard Dr, Clarksville, TN 37042-4754 | 2020-10-01 |
| 1144836404 | Walter J. Green | Counselor | 1120 Mossy Knoll Dr, Cordova, TN 38018-6671 | 2020-09-21 |
| 1114533858 | Sarah Anne May | Counselor | 711 Signal Mountain Rd # 241, Chattanooga, TN 37405-1823 | 2020-09-18 |
| 1871109694 | Shayla Johnson-bunion | Counselor | 2563 Rosalee Ct, Antioch, TN 37013-3049 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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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.