JESSICA RENEE KITTS (NPI# 1245739267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245739267 |
| Entity Type | Individual |
| Full Name | JESSICA RENEE KITTS |
| Practice Address |
4330 Maynardville Hwy Maynardville TN 37807-3618 |
| Mailing Address |
6350 W Andrew Johnson Hwy Dept 100 Talbott TN 37877-8605 |
| Practice Telephone | 8653383849 |
| Practice Fax Number | 8659925166 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | MDX6613 | TN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4330 MAYNARDVILLE HWY |
| City | MAYNARDVILLE |
| State | TN |
| Zip Code | 37807-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894001 | Jeffrey D Greenwood | Psychiatry & Neurology | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2005-07-12 |
| 1518512367 | Melanie Dupree Norman | Developmental Therapist | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2019-08-08 |
| 1699335190 | Chelsey Germaine Keyes | Dental Assistant | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2019-06-17 |
| 1881166809 | Margaret Stallard | Licensed Practical Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2019-01-02 |
| 1780155960 | Glenda Gill | Dental Assistant | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-16 |
| 1528539038 | Tanya Hodges | Dental Hygienist | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-10 |
| 1649741380 | Brenda Stanley | Nurse's Aide | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-06 |
| 1427528355 | April Dawn Cooke | Registered Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-04 |
| 1548730815 | Amanda Gail Farmer | Nurse's Aide | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-11-29 |
| 1396228136 | Misty Danielle Sexton | Licensed Practical Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368815 | Ian Carter Mccormick | Pharmacist | 2710 Maynardville Highway, Maynardville, TN 37807 | 2020-08-25 |
| 1053963975 | Maynardville Drug LLC | Pharmacy | 2975 Maynardville Hwy, Maynardville, TN 37807 | 2019-07-11 |
| 1811014533 | Leah Renee Lewis | Specialist/Technologist | 108 Harmon Drive, Maynardville, TN 37807 | 2007-03-26 |
| 1659497394 | Mohammad Bhidya Md PC | Nurse Practitioner | 2595 Maynardville Hwy, Maynardville, TN 37807 | 2007-03-22 |
| 1053350363 | Thomas J Demaro | Emergency Medicine | 598 John Deere Drive, Maynardville, TN 37807 | 2006-06-05 |
| 1134504764 | East Tennessee Physical Therapy,llc | Clinic/Center | 4357 Maynardville Hwy, Maynardville, TN 37807 | 2015-07-24 |
| 1447500731 | Julie M Roberts | Pharmacist | 4344 Maynardville Hwy, Maynardville, TN 37807 | 2012-09-13 |
| 1669623898 | Stallion Medical Group P.C. | Family Medicine | 598 John Deere Drive, Maynardville, TN 37807 | 2008-10-07 |
| 1952442618 | Lisa D Smallen-lee | Nutritionist | 4335 Maynardville Hwy, Maynardville, TN 37807 | 2007-02-08 |
| 1033279872 | Darrell James Johnson | Chiropractor | 110 Skyline Drive, Maynardville, TN 37807 | 2006-12-11 |
| Find all providers in zip 37807 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922483023 | Abigail Bargatze | Radiologic Technologist | 1708 Elm Run Way, Nashville, TN 37214 | 2015-07-30 |
| 1356721245 | Davin Ray Modisette | Radiologic Technologist | 18 Northland Dr, Jackson, TN 38301-3308 | 2015-06-04 |
| 1235568346 | Beata Joanna Czartoryski | Radiologic Technologist | 195 Lasalle Rd, Oak Ridge, TN 37830-8548 | 2013-11-08 |
| 1265786446 | Franklin County Diagnostics, LLC | Radiologic Technologist | 25 Veterans Dr, Decherd, TN 37324-3887 | 2012-11-09 |
| 1336499698 | Fasika Getahun Gebremariam | Radiologic Technologist | 4248 October Woods Dr, Antioch, TN 37013-4876 | 2012-09-14 |
| 1851641567 | Trinity Mobile X-ray | Radiologic Technologist | 6431 Wade Springs Rd, Murfreesboro, TN 37130-8719 | 2012-09-11 |
| 1922356021 | Jannnekee Burchett | Radiologic Technologist | 5292 Bradcliff St, Memphis, TN 38109-7504 | 2012-08-21 |
| 1265796114 | Brandon Dean Wingate | Radiologic Technologist | 323 Savannah Rdg, Murfreesboro, TN 37127-8331 | 2012-06-26 |
| 1689900474 | The Medical Matter LLC | Radiologic Technologist | 23 Gann Rd, Milan, TN 38358-6518 | 2009-10-28 |
| 1215189576 | Calvin Carter Jamel Jr. | Radiologic Technologist | 1912 Streamfield Ct, Antioch, TN 37013-5753 | 2008-10-17 |
| Find all providers with the same taxonomy | ||||
| City | MAYNARDVILLE |
| Zip Code | 37807 |
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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.