R-EVOLUTION HEALTH (NPI# 1174160006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174160006 |
| Entity Type | Organization |
| Organization Name | R-EVOLUTION HEALTH |
| Practice Address |
165 Dale St Red Boiling Springs TN 37150-2102 |
| Mailing Address |
1346 Pleasant Grove Rd Westmoreland TN 37186-2142 |
| Practice Telephone | 6153741484 |
| Mailing Telephone | 6153741484 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | JOSH L VANTREASE (MANAGER/OWNER/FNP-C) |
| Authorized Official Telephone | 6153741484 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
165 DALE ST |
| City | RED BOILING SPRINGS |
| State | TN |
| Zip Code | 37150-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508488800 | 3 Ple O LLPc | Family Medicine | 165 Dale St, Red Boiling Springs, TN 37150-2102 | 2020-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295985992 | Martin Family Healthcare LLC. | Physician Assistant | 120 Market St., Red Boiling Springs, TN 37150 | 2008-09-30 |
| 1669533345 | Lanny R Hudson | Pharmacist | 126 Market Street, Red Boiling Springs, TN 37150 | 2006-12-13 |
| 1467483164 | Edna Lynn Woodard | Nurse Practitioner | 165 Dale Street, Red Boiling Springs, TN 37150 | 2006-07-05 |
| 1033269576 | Carolyn Virginia Whitaker | Nurse Practitioner | 718 Lafayette Rd, Red Boiling Springs, TN 37150-2021 | 2007-01-10 |
| 1619185428 | Frank T Rutherford Memorial Hospital, Inc | Clinic/Center | 718 Lafayette Rd, Red Boiling Springs, TN 37150-2021 | 2007-05-18 |
| 1255983946 | Shalena Natasha Bray | Nurse Practitioner | 35 Spivey St, Red Boiling Springs, TN 37150-2078 | 2019-07-12 |
| 1750906335 | Bray Family Health and Wellness, LLC | Nurse Practitioner | 35 Spivey St, Red Boiling Springs, TN 37150-2078 | 2020-06-10 |
| 1114571627 | Red Boiling Springs Tn Opco LLC | Respite Care | 309 Main St, Red Boiling Springs, TN 37150-2149 | 2019-08-01 |
| 1376106351 | Macon Care Center LLC | Skilled Nursing Facility | 309 Main St, Red Boiling Springs, TN 37150-2149 | 2019-04-16 |
| 1427428101 | Clifton Lee Hackett | Physical Therapy Assistant | 309 Main St, Red Boiling Springs, TN 37150-2149 | 2015-10-06 |
| Find all providers in zip 37150 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508488800 | 3 Ple O LLPc | Family Medicine | 165 Dale St, Red Boiling Springs, TN 37150-2102 | 2020-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768031 | Chanler Korte | Family Medicine | 879 Greenlea Blvd Ste 103, Gallatin, TN 37066-3205 | 2020-10-26 |
| 1538768205 | Winbigler Medical, Pllc | Family Medicine | 1205 Lodge St, Alcoa, TN 37701-2092 | 2020-10-22 |
| 1205434420 | Urgent Care for Children, Pllc | Family Medicine | 5207 Highway 153, Hixson, TN 37343-5894 | 2020-10-09 |
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1336755271 | Maryellen Tipton | Family Medicine | 1489 Touraine Pl, Knoxville, TN 37919-8278 | 2020-09-16 |
| 1144835539 | Memphis Family Care | Family Medicine | 5818 Winchester Rd, Memphis, TN 38115-4711 | 2020-09-11 |
| 1538772868 | Longmire Health Group | Family Medicine | 1331 Union Ave Ste 1024, Memphis, TN 38104-7509 | 2020-08-26 |
| 1023621646 | Access Medical Clinic Tennessee LLC | Family Medicine | 204 Glades Rd, Gatlinburg, TN 37738-5601 | 2020-08-24 |
| 1528671294 | Sarah Willms | Family Medicine | 2309 Crestmoor Rd Ste 200, Nashville, TN 37215-2043 | 2020-08-24 |
| 1265042238 | Better Care Clinic | Family Medicine | 2021 E Andrew Johnson Hwy, Morristown, TN 37814-5409 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | RED BOILING SPRINGS |
| Zip Code | 37150 |
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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.