MRS. ELSIE LOIS THACKER (NPI# 1164550737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164550737 |
Entity Type | Individual |
Full Name | MRS. ELSIE LOIS THACKER |
Other Name | MRS. LOIS K. THACKER |
Credential | REGISTERED NURSE |
Practice Address |
418 S Main St Waynesboro TN 38485-2629 |
Mailing Address |
80 Boling Rd P.o. Box 13 Morris Chapel TN 38361-4028 |
Practice Telephone | 9317223644 |
Practice Fax Number | 9317227972 |
Mailing Telephone | 7316873176 |
Enumeration Date | 2007-03-02 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN0000106590 | TN | Nursing Service Providers |
Street Address |
418 S MAIN ST |
City | WAYNESBORO |
State | TN |
Zip Code | 38485-2629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093370652 | Chelsea Leigh Butcher | Case Manager/Care Coordinator | 418 S Main St, Waynesboro, TN 38485-2629 | 2019-05-08 |
1205311370 | Laura Dygert | Case Manager/Care Coordinator | 418 S Main St, Waynesboro, TN 38485-2629 | 2018-09-25 |
1871980094 | Tara Anderson | Case Management | 418 S Main St, Waynesboro, TN 38485-2629 | 2015-04-26 |
1902204480 | Rajpati Bodh-ceres | Nurse Practitioner | 418 S Main St, Waynesboro, TN 38485-2629 | 2014-12-15 |
1205242195 | Miranda Kapsalis | Community Health Worker | 418 S Main St, Waynesboro, TN 38485-2629 | 2014-07-11 |
1609053677 | Centerstone | Case Management | 418 S Main St, Waynesboro, TN 38485-2629 | 2008-01-22 |
1598893133 | Erin Lyn Brewer | Case Manager/Care Coordinator | 418 S Main St, Waynesboro, TN 38485-2629 | 2007-03-02 |
1902934011 | Robert R. Johannes | Counselor | 418 S Main St, Waynesboro, TN 38485-2629 | 2007-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760903066 | Wayne Provision | Community/Behavioral Health | 950 Andrew Jackson Drive, Waynesboro, TN 38485 | 2017-06-28 |
1407387772 | Nelda Prater | Counselor | 942 Andrew Jackson Dr., Waynesboro, TN 38485 | 2017-03-27 |
1427479328 | Tennessee Pain Management Associates | Pain Medicine | 530 Us Hwy 64, Suite 5, Waynesboro, TN 38485 | 2013-12-18 |
1982031415 | Donna J Casteel | Nurse Practitioner | 107 Jv Mangubat Drive, Waynesboro, TN 38485 | 2013-09-30 |
1316371222 | Wes Yeiser Donaldson | Physical Therapy Assistant | 183 Long Vue, Waynesboro, TN 38485 | 2013-08-27 |
1407096829 | Brian Paul Coggins | Physical Therapist | 514 South High St, Waynesboro, TN 38485 | 2009-02-25 |
1467691600 | At Home Meds, LLC | Durable Medical Equipment & Medical Supplies | 1126 B Collinwood Highway, Waynesboro, TN 38485 | 2009-02-11 |
1730375908 | Best Medical Inc. | Durable Medical Equipment & Medical Supplies | 905 Andrew Jackson Drive, Suite C, Waynesboro, TN 38485 | 2007-09-20 |
1295933661 | Air Evac Ems Inc. | Ambulance | 915 Andrew Jackson Drive, Waynesboro, TN 38485 | 2007-07-06 |
1871650895 | Mrh Dba Wmc | Nursing Facility/Intermediate Care Facility | 505 South High Street, Waynesboro, TN 38485 | 2007-01-02 |
Find all providers in zip 38485 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689761348 | Robin Dubose Mizell | Registered Nurse | 629 Shadrack St., Waynesboro, GA 30830 | 2006-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669958708 | Paulinus Nwaija | Registered Nurse | 730 Huntington Pkwy, Nashville, TN 37211-5919 | 2018-07-12 |
1922592229 | Samantha Thompson | Registered Nurse | 3308 Blaze Dr, Murfreesboro, TN 37128-3878 | 2018-06-20 |
1588165112 | Cara Victoria Jill Mcmahan | Registered Nurse | 310 W 3rd N Street, Morristown, TN 37814 | 2018-02-28 |
1891295481 | Gregory T Tipton | Registered Nurse | 302 Sunset Dr Ste 105, Johnson City, TN 37604-2408 | 2018-02-20 |
1699294595 | Charlene L. Donovan | Registered Nurse | 1283 Murfreesboro Pike Ste 500, Nashville, TN 37217-2421 | 2017-09-12 |
1588181861 | Kayla Ashley West | Registered Nurse | 223 Madison St Ste 103, Madison, TN 37115-3660 | 2017-08-27 |
1629509369 | Sommer Wright | Registered Nurse | 1128 Radmoor Ln, Chattanooga, TN 37421-4048 | 2017-03-24 |
1053795518 | Charles Olsen | Registered Nurse | 307 Devonia St, Harriman, TN 37748-2008 | 2015-07-15 |
1518238708 | Barbara J Howard | Registered Nurse | 736 Jessica Taylor Dr, Madison, TN 37115-5580 | 2012-01-19 |
1235449398 | Onochie Nnodu | Registered Nurse | 2350 Mccampbell Wells Way, Knoxville, TN 37924-3128 | 2010-10-07 |
Find all providers with the same taxonomy |
City | WAYNESBORO |
Zip Code | 38485 |
Please comment or provide details below to improve the information on MRS. ELSIE LOIS THACKER.
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.