MEGAN GRESHAM (NPI# 1265814727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265814727 |
| Entity Type | Individual |
| Full Name | MEGAN GRESHAM |
| Practice Address |
1570 Waverly Rd Kingsport TN 37664-2523 |
| Mailing Address |
1167 Spratlin Park Dr Po Box 9054 Gray TN 37615-6205 |
| Practice Telephone | 4232241300 |
| Practice Fax Number | 4234673644 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 81919 | TN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672292 | Megan Gresham | Nurse Practitioner | 20099 Office Cir Ste 208, Georgetown, DE 19947-3196 | 2020-09-01 |
| Street Address |
1570 WAVERLY RD |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37664-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356372007 | Mary Kathleen O'keeffe | Marriage & Family Therapist | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2006-07-05 |
| 1386257103 | Elizabeth L. Mcfarland | Counselor | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2020-08-31 |
| 1902428014 | Necole L Richardson | Counselor | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2020-05-12 |
| 1922635671 | Calantrica Hunt | Counselor | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2020-03-24 |
| 1497217616 | Kerri Elyse Paulsen | Counselor | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2019-04-05 |
| 1205303674 | Beatrice Sharon Herbert | Licensed Practical Nurse | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2018-10-24 |
| 1508333972 | Heather Nicole Hudson | Licensed Practical Nurse | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2018-10-24 |
| 1093296048 | Matthew Andrews | Social Worker | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2018-08-28 |
| 1285129544 | Gina Monique Brown | Nurse Practitioner | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2018-06-28 |
| 1710482849 | Amber Michelle Anzalone | Case Manager/Care Coordinator | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2018-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067395 | Alice Victoria Lilly | Nurse Practitioner | 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-30 |
| 1861966525 | Catherine Ann Hensley | Nurse Practitioner | 2995 Fort Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-16 |
| 1679076954 | Christopher A Hillman | Dentist | 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664 | 2018-03-13 |
| 1154666733 | Cristin Patterson | Counselor | 2762 East Center St., Kingsport, TN 37664 | 2012-12-07 |
| 1972851095 | Kevin Michael Smith | Pharmacist | 1425 East Center Street, Kingsport, TN 37664 | 2012-08-21 |
| 1619299617 | Kelli Lynn Dillon | Counselor | 1570 Waverly Rorad, Kingsport, TN 37664 | 2010-02-18 |
| 1356503726 | Charles Craig Stieler | Hearing Instrument Specialist | 2101 Ft Henry Dr, Kingsport, TN 37664 | 2008-06-27 |
| 1104012319 | Pro Balance LLC | Prosthetic/Orthotic Supplier | 2408 Fort Henry Drive, Kingsport, TN 37664 | 2007-09-20 |
| 1518188648 | Remington House | Assisted Living Facility | 640 Rock Springs Road, Kingsport, TN 37664 | 2007-05-02 |
| 1689795007 | Elaine Frazier | Emergency Medicine | 410 Golf Ridge Dr, Kingsport, TN 37664 | 2007-04-03 |
| Find all providers in zip 37664 | ||||
| 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 |
|---|---|---|---|---|
| 1205303674 | Beatrice Sharon Herbert | Licensed Practical Nurse | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2018-10-24 |
| 1508333972 | Heather Nicole Hudson | Licensed Practical Nurse | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2018-10-24 |
| 1457868242 | Dana Mitchell | Licensed Practical Nurse | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2018-01-03 |
| 1609322478 | Christopher Adam Range | Licensed Practical Nurse | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2016-08-31 |
| 1194107722 | Krista Johnson | Licensed Practical Nurse | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2015-06-19 |
| 1558707281 | Annie Elizabeth Trivett | Licensed Practical Nurse | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2013-05-21 |
| 1992064455 | Brittany Nicole Graham Dockery | Licensed Practical Nurse | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2012-05-03 |
| 1770800625 | Kelly Elizabeth Arrowood | Licensed Practical Nurse | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2010-04-30 |
| 1942522990 | Kasey Lawson | Licensed Practical Nurse | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2010-02-18 |
| 1467784363 | Vickie R Bowen | Licensed Practical Nurse | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2010-02-03 |
| Find all providers in KINGSPORT | ||||
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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.