CHRISTAL DAWN HADORN (NPI# 1255838769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255838769 |
Entity Type | Individual |
Full Name | CHRISTAL DAWN HADORN |
Credential | APN |
Practice Address |
3469 New Highway 68 Madisonville TN 37354-5148 |
Practice Telephone | 4234423993 |
Practice Fax Number | 4234429468 |
Mailing Telephone | 4234423993 |
Mailing Fax Number | 4234429468 |
Enumeration Date | 2018-04-11 |
Last Update Date | 2018-04-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000023177 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3469 NEW HIGHWAY 68 |
City | MADISONVILLE |
State | TN |
Zip Code | 37354-5148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669527230 | State of Tennessee | Clinic/Center | 3469 New Highway 68, Madisonville, TN 37354 | 2007-01-24 |
1821630575 | Olivia Ellison | Nutritionist | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2019-10-15 |
1457842890 | Olivia Ann Reagan | Nutritionist | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2018-05-22 |
1073004420 | Jaimie Georg | Nutritionist | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2018-05-22 |
1497291264 | Lorinda Ayers | Nurse's Aide | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2017-01-17 |
1760928527 | Tina Mauricio | Nurse's Aide | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2017-01-17 |
1932341740 | Marygail Byers | Registered Nurse | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2009-03-26 |
1023268828 | Monroe County Dental Clinic | Dentist | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2008-09-29 |
1841440963 | Margaret A Ramsey | Dentist | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2008-09-25 |
1083864201 | Mary Elizabeth Johnson Fancher | Dentist | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2008-09-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487043568 | Tracy Andel | Registered Nurse | 3469 North Highway 68, Madisonville, TN 37354 | 2015-01-13 |
1053454876 | Tennie Clarice Lewis | Registered Nurse | 3439 New Hwy 68, Madisonville, TN 37354 | 2007-02-14 |
1306801907 | East Tennessee Health Care Inc | Skilled Nursing Facility | 465 Isbill Rd, Madisonville, TN 37354 | 2006-04-18 |
1386609956 | Tamela K King | Social Worker | 520 Cook Street, Madisonville, TN 37354 | 2006-04-18 |
1710958129 | Gary Lee Fields | Chiropractor | 4900 New Hwy 68, Madisonville, TN 37354 | 2006-02-01 |
1720086929 | Mitzi Suzanne Mcbride | Social Worker | 119 Pedigo Road, Suite F, Madisonville, TN 37354 | 2005-07-12 |
1437601036 | Starla Swaney | Nurse Practitioner | 167 Warren St, Madisonville, TN 37354 | 2016-10-30 |
1144610304 | Laura Jo Vacheresse | Social Worker | 4798 New Highway 68, Madisonville, TN 37354 | 2015-01-27 |
1205122587 | Linda W Boyatt | Nurse Practitioner | 4233 Highway 411, Madisonville, TN 37354 | 2011-06-24 |
1548427586 | Chota Community Health Services | Clinic/Center | 4798 New Highway 68, Madisonville, TN 37354 | 2008-05-19 |
Find all providers in zip 37354 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225636012 | Jennifer Castro Ledet | Nurse Practitioner | 689 English Oak Dr, Madisonville, LA 70447-3179 | 2020-10-14 |
1588273098 | Tamara Lynn Zelch | Nurse Practitioner | 142 Pine Loop Dr, Madisonville, TN 37354-6813 | 2020-07-30 |
1730706748 | Renee Hurley Christman | Nurse Practitioner | 28628 Venette Ct, Madisonville, LA 70447-3220 | 2020-06-25 |
1992329973 | Allison Newton Ravassipour | Nurse Practitioner | 110 Woodthrush Dr, Madisonville, LA 70447-4004 | 2020-06-04 |
1376926428 | Nacole Diaz | Nurse Practitioner | 633 Piney Ridge Cir, Madisonville, LA 70447-3101 | 2015-07-08 |
1407239890 | Christine Marie Talley | Nurse Practitioner | 238 Red Fox Run Blvd, Madisonville, LA 70447-3116 | 2015-07-02 |
1326487554 | Kaleidoscope Family Health, Inc. | Nurse Practitioner | 4900 New Highway 68, Madisonville, TN 37354-2142 | 2013-06-20 |
1124385257 | Ardith Elaine O'rourke | Nurse Practitioner | 57 J.e. Ellis Road, Madisonville, KY 42431 | 2012-04-13 |
1679751002 | Kelle Dawn Harper | Nurse Practitioner | 220 W Trinity St, Madisonville, TX 77864-1914 | 2008-02-07 |
1356384788 | Sheila M Gaia | Nurse Practitioner | 167 Warren St, Madisonville, TN 37354-3001 | 2006-06-14 |
Find all providers in MADISONVILLE |
City | MADISONVILLE |
Zip Code | 37354 |
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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.