JANTZEN MOSS (NPI# 1245665868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245665868 |
| Entity Type | Individual |
| Full Name | JANTZEN MOSS |
| Credential | L.P.N. |
| Practice Address |
4039 Highland St Suite 2 Milan TN 38358-3483 |
| Mailing Address |
1804 Highway 45 Byp Suite 604 Jackson TN 38305-4436 |
| Practice Telephone | 7317231327 |
| Practice Fax Number | 7316608739 |
| Mailing Telephone | 7316607971 |
| Mailing Fax Number | 7316608739 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 65174 | TN | Nursing Service Providers |
| Street Address |
4039 HIGHLAND ST SUITE 2 |
| City | MILAN |
| State | TN |
| Zip Code | 38358-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700871480 | Nicolas Appleton | Internal Medicine | 4039 Highland St, Milan, TN 38358-3485 | 2005-09-19 |
| 1134571490 | Joseph Heath Thompson | Physician Assistant | 4039 Highland St, Milan, TN 38358-3483 | 2016-07-11 |
| 1396082780 | Top Flight Medical Group | Specialist | 4039 Highland St, Milan, TN 38358-3483 | 2013-01-07 |
| 1487921318 | Carol D Belong | Case Manager/Care Coordinator | 4039 Highland St, Milan, TN 38358-3483 | 2011-11-21 |
| 1225265218 | Ronica C Smith | Counselor | 4039 Highland St, Milan, TN 38358-3483 | 2009-06-17 |
| 1831363894 | Sandra Starr | Nurse Practitioner | 4039 Highland St, Suite 2, Milan, TN 38358-3483 | 2008-04-21 |
| 1831372069 | Joel Scott Craig | Durable Medical Equipment & Medical Supplies | 4039 Highland St, Milan, TN 38358-3483 | 2007-12-11 |
| 1639206329 | Milan General Hospital | Pharmacy | 4039 Highland St, Milan, TN 38358-3483 | 2007-02-28 |
| 1740340884 | Stacy R Bromley | Physician Assistant | 4039 Highland St, Milan, TN 38358-3483 | 2006-12-11 |
| 1215014717 | Ronald Guy Twilla | Family Medicine | 4039 Highland St, Suite 5, Milan, TN 38358-3483 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478561 | Virginia Houston Emerson | Pharmacist | Walgreens 15785, 6068 S First St, Milan, TN 38358 | 2020-08-20 |
| 1245756329 | Trey Anderson Tate | Physical Therapist | 2060 Rhino Crossing, Milan, TN 38358 | 2017-08-21 |
| 1407254808 | Shelley Nicole Reaves | Registered Nurse | 9159 Telecom Dr, Milan, TN 38358 | 2014-12-17 |
| 1871908632 | Kathleen L Ingalls | Physical Therapist | 6070 D South First Street, Milan, TN 38358 | 2014-06-30 |
| 1881968550 | Home Master Group | Contractor | 2052 Rhino Crossing, Milan, TN 38358 | 2012-02-28 |
| 1073826889 | Howell Scott Holmes Jr. | Physical Therapist | 2047 Kefauver Dr Ste B, Milan, TN 38358 | 2010-07-21 |
| 1831249093 | State of Tennessee | Public Health or Welfare | 6501 Telecom Drive, Milan, TN 38358 | 2007-01-11 |
| 1275681744 | Krystal L Maclin | Occupational Therapist | 8017 Dogwood Lane, Milan, TN 38358 | 2007-01-08 |
| 1417978206 | Carol Ann Minton | Optometrist | 6032 Telecom Drive, Milan, TN 38358 | 2006-07-21 |
| 1487682142 | William Hudson Harrison | Dentist | 4129 S 1st St, Milan, TN 38358 | 2006-06-29 |
| Find all providers in zip 38358 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| 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 |
|---|---|---|---|---|
| 1427507227 | Todd Morningstar | Licensed Practical Nurse | 10090 Farrd, Milan, MI 48160 | 2016-09-22 |
| 1245619444 | Sara Dolores Chartrant | Licensed Practical Nurse | 17 Chippewa Dr, Milan, OH 44846-9762 | 2015-05-21 |
| 1093104697 | Krista Stevens | Licensed Practical Nurse | 12701 Calhoun Rd, Milan, MI 48160-9134 | 2015-01-20 |
| 1609282201 | Belinda Quiggle | Licensed Practical Nurse | 33 W Front St, Milan, OH 44846-9349 | 2014-07-03 |
| 1851588578 | Kathleen A. Hicks | Licensed Practical Nurse | 337 N. Edgewood Drive, Milan, OH 44846 | 2007-09-26 |
| 1255722252 | Jaime Conley | Licensed Practical Nurse | 33 W Front St, Milan, OH 44846-9349 | 2015-02-11 |
| 1124215850 | Sandra Kay Reed | Licensed Practical Nurse | 337 N. Edgewood Drive, Milan, OH 44846 | 2007-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001784 | Natalie Raye Higginbotham | Licensed Practical Nurse | 505 E Ash St, La Follette, TN 37766-2529 | 2020-10-22 |
| 1750989521 | April Nicole Milam | Licensed Practical Nurse | 600 Jefferson Ave Ste 350, Memphis, TN 38105-4900 | 2020-10-14 |
| 1922606953 | Latonya Rochelle Addison | Licensed Practical Nurse | 8855 N Cortona Cir, Cordova, TN 38018-6978 | 2020-10-12 |
| 1487269437 | Cathy Jones | Licensed Practical Nurse | 2047 Dutch Valley Rd, Clinton, TN 37716-5121 | 2020-09-15 |
| 1902410855 | Jessica Adams | Licensed Practical Nurse | 1496 Dardon Ave, Memphis, TN 38116-8410 | 2020-09-08 |
| 1639782733 | Maresa Grines Huggins | Licensed Practical Nurse | 6939 7th Rd, Bartlett, TN 38135-2582 | 2020-08-28 |
| 1326659483 | Kristen Julia Rash | Licensed Practical Nurse | 1813 6th Ave, Knoxville, TN 37917-5830 | 2020-08-12 |
| 1215545942 | Rhonda Jean Jeffers | Licensed Practical Nurse | 3860 Helenwood Loop Rd, Helenwood, TN 37755-5562 | 2020-07-20 |
| 1881210953 | Jennifer Higginbotham | Licensed Practical Nurse | 1126 Cross Valley Rd, La Follette, TN 37766-4964 | 2020-06-24 |
| 1043833775 | Selena Myers | Licensed Practical Nurse | 2125 Old County Garage Rd, Helenwood, TN 37755-5385 | 2020-05-28 |
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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.