WILLIAM TREY E JOHNSON III (NPI# 1134730849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134730849 |
| Entity Type | Individual |
| Full Name | WILLIAM TREY E JOHNSON III |
| Practice Address |
2930 Beaverwood Dr Knoxville TN 37918-4606 |
| Practice Telephone | 8655858701 |
| Mailing Telephone | 8655858701 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | TN | Student, Health Care |
| Street Address |
2930 BEAVERWOOD DR |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37918-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636145 | Samantha Fuhrmann | Physical Therapy Assistant | Beverly Park Place Health and Rehab, 5321 Beverly Park Circle, Knoxville, TN 37918 | 2019-02-21 |
| 1043701741 | Lauren Lea Wilson | Student in an Organized Health Care Education/Training Program | 4230 Homewood Rd, Knoxville, TN 37918 | 2018-05-29 |
| 1164790317 | Jennifer Young Brooks | Pharmacist | 5006 North Broadway, Knoxville, TN 37918 | 2011-12-02 |
| 1215213194 | Lu Miller | Pharmacist | 5006 N Broadway, Knoxville, TN 37918 | 2011-10-24 |
| 1326353475 | Lauren Joy Stone | Optometrist | 4829 N Broadway St Ste 103, Knoxville, TN 37918 | 2010-08-13 |
| 1699004531 | Larry Kyle Sowder | Dentist | 2944 Tazewell Pk, Ste #2, Knoxville, TN 37918 | 2009-12-23 |
| 1922233881 | Andrea' Lamar Farrior | Dentist | 2937 Essary Rd., Dr. Michael Edenfield, Knoxville, TN 37918 | 2009-05-21 |
| 1053558510 | Love-hope Academy | Counselor | 3826 Tiberius Rd Ste 315, Knoxville, TN 37918 | 2009-01-20 |
| 1497910293 | Diana Lynn Mccoy | Psychologist | 5019 Jacksboro Pike, Knoxville, TN 37918 | 2008-07-22 |
| 1740498088 | Kathleen M Riley | Pharmacist | K-mart Pharmacy #7460, 6906 Manardville Pike Ne, Knoxville, TN 37918 | 2007-05-18 |
| Find all providers in zip 37918 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417613 | Andrea Nicole Overman | Student in an Organized Health Care Education/Training Program | 10329 Boston Ln, Knoxville, TN 37932-2145 | 2020-05-04 |
| 1851910749 | Ahmed Hussein | Student in an Organized Health Care Education/Training Program | 1712 Wynrush Cir, Knoxville, TN 37923-7316 | 2020-04-11 |
| 1316575806 | Joshua Logan Pickett | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy Ste 127, Knoxville, TN 37920-1511 | 2020-03-30 |
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1750937520 | Alykhan Moez Premji | Student in an Organized Health Care Education/Training Program | 10900 Hunters Knoll Ln, Knoxville, TN 37932-1148 | 2019-08-16 |
| 1659832962 | Marta R Hernandez-hermann | Student in an Organized Health Care Education/Training Program | 203a Alba Street, Knoxville, PA 16928 | 2019-03-28 |
| 1861957904 | Warren Phillips | Student in an Organized Health Care Education/Training Program | 3115 Culpepper Rd, Knoxville, TN 37917-3520 | 2019-02-03 |
| 1518433713 | Katelyn Nicole Gibbs | Student in an Organized Health Care Education/Training Program | 9015 Richfield Ln, Knoxville, TN 37924-4580 | 2018-10-16 |
| 1043701741 | Lauren Lea Wilson | Student in an Organized Health Care Education/Training Program | 4230 Homewood Rd, Knoxville, TN 37918 | 2018-05-29 |
| Find all providers in KNOXVILLE | ||||
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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.