KENYATTA PUGH (NPI# 1215543251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215543251 |
| Entity Type | Individual |
| Full Name | KENYATTA PUGH |
| Practice Address |
1176 Vickery Ln Ste 200 Cordova TN 38016-0631 |
| Practice Telephone | 9012554490 |
| Practice Fax Number | 9014164490 |
| Mailing Telephone | 9012554490 |
| Mailing Fax Number | 9014164490 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 170003871 | TN | Nursing Service Related Providers |
| Street Address |
1176 VICKERY LN STE 200 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38016-0631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886872 | Megan Scott Bolton | Physical Therapist | 8110 Cordova Road Suite 107, Cordova, TN 38016 | 2020-06-23 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1376195842 | Robert Cody Heismann | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016 | 2019-07-15 |
| 1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
| 1255776886 | Suzanne Elaine Baker | Family Medicine | 2257 North Germantown Parkway, Memphis, TN 38016 | 2013-05-09 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1114186624 | Rebecca L Bills | Optometrist | 1795 N Germantown Pkwy, Cordova, TN 38016 | 2008-06-09 |
| 1679784128 | Linda Kay Yates | Emergency Medicine | 1401 Dexter Lane, Cordova, TN 38016 | 2007-05-25 |
| 1417168386 | Healthquest | Psychiatry & Neurology | 58 Timber Creek, Cordova, TN 38016 | 2007-05-24 |
| 1114079795 | Barbara T Henking | Psychologist | 8134 Country Village, #102, Cordova, TN 38016 | 2007-01-17 |
| Find all providers in zip 38016 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
| 1205376613 | Lashunda Partee | Home Health Aide | 10052 Lynham Cv, Cordova, TN 38016-5787 | 2017-03-03 |
| 1598204729 | Mia Scullark | Home Health Aide | 8809 Forest Breeze Dr, Cordova, TN 38018-7692 | 2017-02-21 |
| 1871973131 | Rhonda Elaine Blanks | Home Health Aide | 9114 Karen Mill Cv, Cordova, TN 38016-8533 | 2015-06-02 |
| 1174988125 | James Whitaker | Home Health Aide | 1904 Talisker Dr, Cordova, TN 38016-0155 | 2015-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999569 | Donumenite Chambers | Home Health Aide | 3222 Whispering Ln Apt 156, Memphis, TN 38115-3762 | 2020-10-14 |
| 1063025104 | Jerrold Anthony Williams | Home Health Aide | 109 Trevecca Ln, Oak Ridge, TN 37830-6616 | 2020-08-28 |
| 1013529924 | Clare Parker | Home Health Aide | 1238 Taft Hwy Ste 154, Signal Mountain, TN 37377-3295 | 2020-08-21 |
| 1033727284 | Tina Poindexter | Home Health Aide | 3728 Crosswood Cv, Memphis, TN 38127-4823 | 2020-07-14 |
| 1073130043 | Ashley Danielle Musselwhite | Home Health Aide | 720 Salem Church Rd, Waynesboro, TN 38485-4745 | 2020-06-25 |
| 1972125169 | Joyce Hobson | Home Health Aide | 4502 Tracy Lynn Dr, Memphis, TN 38125-6503 | 2020-05-11 |
| 1740801422 | Lakeisha Monique Lewis | Home Health Aide | 8211 Holston Dr, Memphis, TN 38125-3982 | 2020-05-04 |
| 1902425366 | Marissa Michelle Sharp | Home Health Aide | 6224 Western Avenue, Knoxville, TN 37921 | 2020-04-15 |
| 1457988792 | Joy Shelton | Home Health Aide | 2552 Poplar Ave Ste 101, Memphis, TN 38112-3834 | 2020-03-25 |
| 1275167124 | Genesis Massey | Home Health Aide | 3417 Lebanon Pike Apt G106, Hermitage, TN 37076-2023 | 2020-03-01 |
| 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.