MISTY LEE MATHENEY (NPI# 1184242638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184242638 |
| Entity Type | Individual |
| Full Name | MISTY LEE MATHENEY |
| Credential | CPRS |
| Practice Address |
839 Wren Rd Goodlettsville TN 37072-2316 |
| Practice Telephone | 6157668081 |
| Practice Fax Number | 6157668083 |
| Mailing Telephone | 6157668081 |
| Mailing Fax Number | 6157668083 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 000-1261 | TN | Other Service Providers |
| Street Address |
839 WREN RD |
| City | GOODLETTSVILLE |
| State | TN |
| Zip Code | 37072-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437667847 | An Insured Recovery, LLC | Internal Medicine | 839 Wren Rd, Goodlettsville, TN 37072-2316 | 2018-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336651140 | Listen Hear LLC | Hearing Aid Equipment | 758 Rivergate Pkwy, Goodlettsville, TN 37072 | 2017-11-02 |
| 1023551140 | Joshua Shallcross | Physical Therapy Assistant | 2182 Gallatin Pike North, Goodlettsville, TN 37072 | 2016-11-21 |
| 1578858924 | Joy R Grimes | Nurse Practitioner | 913 Conference Dr Ste 103, Goodlettsville, TN 37072 | 2011-06-14 |
| 1558552620 | Integrative Health Community | Specialist | 400 Professional Park Dr., Suite 201, Goodlettsville, TN 37072 | 2007-08-05 |
| 1669662573 | Lisa Kathryn Spencer | Physical Therapist | 813 South Dickerson Road, Goodletsville, TN 37072 | 2007-07-26 |
| 1760684799 | Counseling Services of Middle Tn, LLC | Social Worker | 420 North Main St, Goodlettsville, TN 37072 | 2007-06-01 |
| 1881818649 | Alejandrina M. Goldberg | Registered Nurse | 1242 Twelve Stones Crossing, Goodlettsville, TN 37072 | 2007-04-12 |
| 1811012792 | Hal T Farmer | Chiropractor | 511 Rivergate Pkwy, Goodlettsville, TN 37072 | 2007-03-20 |
| 1417009440 | Michael A Rhodes Sr. | Family Medicine | 105. B. Memorial Dr., Suite B, Goodlettsville, TN 37072 | 2007-01-18 |
| 1417017039 | Gwendolyn Carney | Occupational Therapist | 813 S. Dickerson Rd, Goodlettsville, TN 37072 | 2006-12-12 |
| Find all providers in zip 37072 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1891264453 | George Allen Clay | Peer Specialist | 509 S Highland Park Ave, Chattanooga, TN 37404-2932 | 2018-11-13 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1336748375 | Lydia Stoutt | Peer Specialist | 320 W 3rd North St, Morristown, TN 37814-4038 | 2020-10-21 |
| 1730787706 | Trey Lovelace | Peer Specialist | 310 W 3rd North St, Morristown, TN 37814-4038 | 2020-10-13 |
| 1386251684 | Terri L Robinson | Peer Specialist | 205 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-09-30 |
| 1629686068 | Mary Franfces Miller | Peer Specialist | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-07-22 |
| 1053939256 | Meredith Roxanne Cross | Peer Specialist | 17 Ridgeway Rd, Norris, TN 37828-3071 | 2020-07-14 |
| 1558989434 | Chasity Hope Galyon | Peer Specialist | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2020-07-08 |
| 1437773801 | Brandi Nicole Greene | Peer Specialist | 310 W 3rd North St, Morristown, TN 37814-4038 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
| City | GOODLETTSVILLE |
| Zip Code | 37072 |
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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.