SARA RUTH ANDERSON (NPI# 1205331337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205331337 |
Entity Type | Individual |
Full Name | SARA RUTH ANDERSON |
Practice Address |
109 W Watauga Ave Johnson City TN 37604-5621 |
Mailing Address |
1167 Spratlin Park Dr Gray TN 37615-6205 |
Practice Telephone | 4232322600 |
Practice Fax Number | 4234673644 |
Mailing Telephone | 4234673600 |
Mailing Fax Number | 4234673644 |
Enumeration Date | 2018-03-29 |
Last Update Date | 2019-01-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
Y | 101YP2500X |
Counselor Specialization: Professional |
4435 | TN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104440825 | Sara Marie Anderson | Dental Hygienist | 6213 Saint Croix Trl N Apt 208, Oak Park Heights, MN 55082-6967 | 2020-05-29 |
1598288292 | Sara Elizabeth Anderson | Nurse Practitioner | 3044 Woodgrove Drive, Grove City, OH 43123 | 2017-07-25 |
1710411137 | Sara Anderson | Pharmacist | 19130 Meadow Pine Dr, Tampa, FL 33647-3609 | 2017-04-12 |
1407092737 | Sara Ann Anderson | Registered Nurse | 2691 Shade Tree Ln, Green Bay, WI 54313 | 2008-12-16 |
1285886333 | Sara Anderson | Counselor | 124 Buchanan St N, Bremen, GA 30110-1606 | 2008-10-21 |
1689825911 | Sara Rebecca Anderson | Counselor | 1662 Stockton St Ste 104, Jacksonville, FL 32204-4561 | 2008-10-06 |
1649355512 | Sara Ann Anderson | Dentist | 1906 Edgington Ave, Eldora, IA 50627-1128 | 2006-10-26 |
1851990592 | Sara Anderson | Behavior Technician | 6197 Lehman Dr, Suite 102, Colorado Springs, CO 80918-3437 | 2020-10-23 |
1144829938 | Sara A Anderson | Case Manager/Care Coordinator | 300 N Cleveland Massillon Rd Ste 200, Akron, OH 44333-2484 | 2020-10-22 |
1851912281 | Sara Holm Anderson | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Ave, Minneapolis, MN 55408-4708 | 2020-04-27 |
Street Address |
109 W WATAUGA AVE |
City | JOHNSON CITY |
State | TN |
Zip Code | 37604-5621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922068022 | Constance Sue Lackner-mullins | Nurse Practitioner | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2006-03-24 |
1417565201 | Christine A Oaks | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2020-07-17 |
1205459245 | Makayla W Shippy | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2020-05-26 |
1336774652 | Meagan Elizabeth Smith- Quisenberry | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2020-03-06 |
1063071926 | Christy R. Crick | Marriage & Family Therapist | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2019-06-13 |
1528539582 | Aaron Free | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-12-16 |
1144700337 | Marcus Antonio (tony) Chambers | Licensed Practical Nurse | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-08-16 |
1952897357 | Kristina S Roberts | Psychologist | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2018-07-09 |
1457845869 | Lurelle Louise Maxey | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2018-06-19 |
1679079206 | Tyler Daniel Garland | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-04-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
Find all providers in zip 37604 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497508 | Emily Hand | Counselor | 1200 Southwest Ave, Johnson City, TN 37604-6520 | 2020-11-08 |
1447860192 | Kasey Smith | Counselor | 2349 Ranch Road 1323, Johnson City, TX 78636-4787 | 2020-08-07 |
1912547142 | David Earl Ramsey | Counselor | 170 Frank Humphreys Ln, Johnson City, TN 37601-3637 | 2020-01-15 |
1003329517 | Summit Counseling Services LLC | Counselor | 4132 Bristol Hwy Ste 5, Johnson City, TN 37601-3162 | 2017-11-07 |
1952642811 | Cathaleen Lynn Blake | Counselor | 2700 S Roan St Ste 203, Johnson City, TN 37601-7557 | 2013-03-01 |
1609101575 | Mary E Marley | Counselor | 2700 S Roan St Ste 400, Johnson City, TN 37601-7678 | 2009-10-12 |
1811141344 | Tonya L. Mckoy | Counselor | 1735 W State of Franklin Rd # 5-227, Johnson City, TN 37604-6573 | 2008-11-11 |
1346415254 | Danny Kellum | Counselor | 2722 E Oakland Ave, Johnson City, TN 37601-1844 | 2008-04-23 |
1487847091 | Artemis Enrichment & Learning Center, LLC | Counselor | 112 East Myrtle Avenue, Suite 408, Johnson City, TN 37601 | 2007-08-27 |
1174674725 | Rose M Shea | Counselor | 420 Ivy Pl, Johnson City, NY 13790-4933 | 2007-01-12 |
Find all providers in JOHNSON CITY |
City | JOHNSON CITY |
Zip Code | 37604 |
Please comment or provide details below to improve the information on SARA RUTH ANDERSON.
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.