KELLY LANE DENNIS (NPI# 1205075421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205075421 |
| Entity Type | Individual |
| Full Name | KELLY LANE DENNIS |
| Practice Address |
2425 Chester Harris Rd Woodlawn TN 37191-9054 |
| Practice Telephone | 9315528964 |
| Mailing Telephone | 9315528964 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
CXT0000000596 | TN | Technologists, Technicians & Other Technical Service Providers |
| Y | 247200000X | Technician, Other | CTA0000000761 | TN | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | CHIROPRACTIC THERAPY ASSISTANT | CTA0000000761 | 01 |
| TN | CHIROPRACTIC X-RAY TECHNOLOGIST | CXT0000000596 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568613677 | Kelly F Dennis | Counselor | 304 N George St Ste A, Millersville, PA 17551-1524 | 2008-10-07 |
| 1891267720 | Kelly Sullivan Dennis | Counselor | 2174 Hewlett Ave, Merrick, NY 11566-3606 | 2018-12-17 |
| 1992233498 | Kelly Dennis | Behavior Technician | 4201 N I 10 Service Rd W, Metairie, LA 70006-6713 | 2017-05-27 |
| 1477721553 | Kelly Dennis | Counselor | 12021 Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2008-02-12 |
| 1386770246 | Kelly M Dennis | Physician Assistant | 1205 Health Center Pkwy, Suite 240b, Yukon, OK 73099-6396 | 2007-02-26 |
| Street Address |
2425 CHESTER HARRIS RD |
| City | WOODLAWN |
| State | TN |
| Zip Code | 37191-9054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447891387 | Andrea R Rogers | Technician | 3961 Moore Hollow Rd, Woodlawn, TN 37191 | 2019-10-02 |
| 1649417023 | Nicole Koenig | Licensed Practical Nurse | 3487 Eastridge Rd, Woodlawn, TN 37191-8107 | 2009-01-07 |
| 1477863322 | Douglas Ashley Porter | Physician Assistant | 3110 Lylewood Rd, Woodlawn, TN 37191-8232 | 2010-10-13 |
| 1891988218 | Susan Marie Hoffmann | Social Worker | 3355a John Taylor Rd, Woodlawn, TN 37191-9116 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982217 | Titan Rehab Services | Physical Therapist | 6340 Security Blvd Ste 100-b8, Woodlawn, MD 21207-5173 | 2020-01-30 |
| 1629613856 | Hope Health Systems, Inc | Counselor | 1726 Whitehead Rd, Woodlawn, MD 21207-4003 | 2019-11-12 |
| 1396387726 | Shonda Jones | Registered Nurse | 2851 Carrollton Pike Ste A5, Woodlawn, VA 24381-3664 | 2019-10-17 |
| 1447891387 | Andrea R Rogers | Technician | 3961 Moore Hollow Rd, Woodlawn, TN 37191 | 2019-10-02 |
| 1588218747 | Lydia Lajoyce Johnson | Licensed Vocational Nurse | 10610 Hwy 59 N, Woodlawn, TX 75694 | 2019-07-26 |
| 1720644206 | Bridget Gray | Social Worker | 1657 Whitehead Ct, Woodlawn, MD 21207-4037 | 2019-05-10 |
| 1760047609 | Jamar P Barnes | Social Worker | 1657 Whitehead Ct Fl 1, Woodlawn, MD 21207-4037 | 2019-05-07 |
| 1760949028 | Journey Health Center | Substance Abuse Rehabilitation Facility | 1808 Woodlawn Dr Ste H&o, Woodlawn, MD 21207-4023 | 2019-02-22 |
| 1235618406 | Stacy Solte Antonio | Physical Therapy Assistant | 7141 Security Blvd., Woodlawn, MD 21244 | 2018-08-08 |
| 1558852426 | Angela Carol Worrell | Occupational Therapist | 813 Joy Ranch Rd, Woodlawn, VA 24381-1305 | 2018-05-25 |
| Find all providers in WOODLAWN | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594674 | Alphonso Harvey | Technician, Other | 810 Dominican Dr # 223, Nashville, TN 37228-1906 | 2019-02-11 |
| 1548700347 | Terminix International | Technician, Other | 860 Ridge Lake Blvd, Mailstop B2-4092, Memphis, TN 38120-9434 | 2017-02-28 |
| 1871044073 | Amelia Dressel | Technician, Other | 9051 Executive Park Dr Ste 302, Knoxville, TN 37923-4627 | 2016-10-22 |
| 1356896914 | Daniel Hekman | Technician, Other | 1710 E 12th St, Chattanooga, TN 37404-4302 | 2016-08-23 |
| 1780139832 | Jenny Lindemann | Technician, Other | 2623 Holly Rock Dr, Clarksville, TN 37040-2828 | 2016-08-18 |
| 1003267717 | Devonja Harris | Technician, Other | 539 E Chester St, Jackson, TN 38301-7062 | 2016-06-23 |
| 1366806648 | Alicia Therese Flanery | Technician, Other | 770 Needmore Rd, Apt 22, Clarksville, TN 37040-6275 | 2016-04-12 |
| 1730568098 | Blythe Valencia Reich | Technician, Other | 238 Village Sq, Suite 300, Pleasant View, TN 37146-7178 | 2015-05-20 |
| 1124414586 | Elizabeth Marmande | Technician, Other | 1709b Nassau St, Nashville, TN 37208-2103 | 2015-04-13 |
| 1275929788 | David Reichley | Technician, Other | 2134 14th Ave N, Nashville, TN 37208-1113 | 2015-04-10 |
| 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.