DIVERSE MEDICAL MANAGEMENT, INC. (NPI# 1235548504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235548504 |
| Entity Type | Organization |
| Organization Name | DIVERSE MEDICAL MANAGEMENT, INC. |
| Practice Address |
82 Beckridge Rd Mcminnville TN 37110-5006 |
| Practice Telephone | 9314094350 |
| Mailing Telephone | 9314094350 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2018-10-17 |
| Authorized Official Name | MRS. NATALIE FREY (AUTHORIZED REP/OFFICE MANAGER) |
| Authorized Official Telephone | 9318158525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 4633 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q007193 | 05 | |
| AL | 207575 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9057 Manchester Hwy, Morrison, TN 37357 | 9318158525 | 9313159037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346749942 | Diverse Medical Management, Inc. | Clinic/Center | 5021 Trail Lake Dr, Plano, TX 75093-7530 | 2018-02-08 |
| Street Address |
82 BECKRIDGE RD |
| City | MCMINNVILLE |
| State | TN |
| Zip Code | 37110-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223984 | Ramila, LLC | Pharmacy | 2652, Old Nashville Hwy, Mcminnville, TN 37110 | 2020-10-22 |
| 1598319055 | Ashley Nicole Hobbs | Registered Nurse | 1401 Sparta Street, Mcminnville, TN 37110 | 2019-08-01 |
| 1033476734 | Samantha Brooke Johnson | Occupational Therapy Assistant | 928 Old Smithville Road, Mcminnville, TENNESSEE 37110 | 2012-04-18 |
| 1245500800 | Jennifer Ann Strunk | Social Worker | 306 N. Chancery Street, Mcminnville, TN 37110 | 2012-01-12 |
| 1477858322 | Nancy M Walker | Pharmacist | 912 N Chancery Street, Mcminnville, TN 37110 | 2011-01-24 |
| 1811225568 | Mcminnville Boarding Home for The Elderly | Assisted Living Facility | 345 Garfield St., Mcminnville, TN 37110 | 2009-11-18 |
| 1750571246 | Jeremy Lee Sanders | Pharmacist | 1100 New Smithville Hwy Suite 114, Mcminnville, TN 37110 | 2007-07-31 |
| 1144383522 | Britt Allan King | Occupational Therapist | 128 Old Smithville Hwy, Mcminnville, TN 37110 | 2006-12-18 |
| 1952478992 | Jeanne Kay Ball | Physical Therapy Assistant | Nhc Mcminneville, 928 Old Smithville Rd, Mcminnville, TN 37110 | 2006-11-28 |
| 1760559702 | Amy Cheryl Fox | Occupational Therapy Assistant | Nhc Mcminnville 928 Old Smithville Rd, Mcminnville, TN 37110 | 2006-11-28 |
| Find all providers in zip 37110 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053718411 | Kimberly Kushner Dominguez | Social Worker | 4375 Ne Riverside Loop, Mcminnville, OR 97128-8433 | 2014-12-01 |
| 1780016923 | Cheryl Lynn Blevins | Social Worker | 1340 Ne Logan St, Mcminnville, OR 97128-3712 | 2013-07-30 |
| 1003939943 | Kimberly Ann Russell | Social Worker | 617 Ne Davis St, Mcminnville, OR 97128-4716 | 2007-04-07 |
| 1508475112 | Pablo Daniel Gaspar-lopez | Social Worker | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2020-07-29 |
| 1376014738 | Janina Smith | Social Worker | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2018-12-11 |
| 1558846097 | Emily Ruiz Romero | Social Worker | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2018-10-01 |
| 1225557754 | Sarah Melcher | Social Worker | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2017-09-15 |
| 1356869366 | Patricia Ann Barr | Social Worker | 1014 S Chancery St, Mcminnville, TN 37110-3704 | 2017-08-30 |
| 1235665118 | Aj A Abell | Social Worker | 617 Ne Davis St, Mcminnville, OR 97128-4716 | 2017-05-11 |
| 1750814307 | Cassidy Michelle Brons | Social Worker | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2017-04-10 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 37110 |
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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.