MRS. AMANDA GAIL BROTHERTON (NPI# 1285884296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285884296 |
Entity Type | Individual |
Full Name | MRS. AMANDA GAIL BROTHERTON |
Credential | MED |
Practice Address |
26 Midway St Bristol TN 37620-1706 |
Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
Practice Telephone | 4239894500 |
Practice Fax Number | 4234673644 |
Mailing Telephone | 4234673600 |
Mailing Fax Number | 4234673644 |
Enumeration Date | 2008-09-26 |
Last Update Date | 2008-09-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073831962 | Amanda Brotherton | Case Manager/Care Coordinator | 6701 Highway 67 Bldg 4, Ahc, Benton, AR 72015-8909 | 2010-05-17 |
Street Address |
26 MIDWAY ST |
City | BRISTOL |
State | TN |
Zip Code | 37620-1706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235125162 | Cathy M Gowan | Nurse Practitioner | 26 Midway St, Bristol, TN 37620-1706 | 2005-09-26 |
1588279129 | Teresa A Fleming | Counselor | 26 Midway St, Bristol, TN 37620-1706 | 2020-09-10 |
1467003210 | Maranda D. Conner | Counselor | 26 Midway St, Bristol, TN 37620-1706 | 2019-09-24 |
1346746120 | Carlyn Marie Conley | Case Manager/Care Coordinator | 26 Midway St, Bristol, TN 37620-1706 | 2018-04-02 |
1851895510 | Rhonda Noelle Grimes | Counselor | 26 Midway St, Bristol, TN 37620-1706 | 2018-03-19 |
1780066241 | Melinda Cox | Licensed Practical Nurse | 26 Midway St, Bristol, TN 37620-1706 | 2015-06-22 |
1831501097 | Tracy Boling | Counselor | 26 Midway St, Bristol, TN 37620 | 2014-05-22 |
1134557010 | Karen Davidson | Licensed Practical Nurse | 26 Midway St, Bristol, TN 37620-1706 | 2013-10-31 |
1053744607 | Kimberly Knight | Case Manager/Care Coordinator | 26 Midway St, Bristol, TN 37620-1706 | 2013-08-19 |
1366874901 | Jonathan David Hunt | Case Manager/Care Coordinator | 26 Midway St, Bristol, TN 37620-1706 | 2013-08-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
Find all providers in zip 37620 |
Taxonomy Code | 101YS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427300516 | Crystal Mary Davis | Counselor | 15 Adna Rd, Bristol, CT 06010-2719 | 2012-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871101998 | Artriel Lynece Brown | Counselor | 4246 Appian Dr, Memphis, TN 38128-1497 | 2020-07-15 |
1265096473 | Lillian Kelly Mccranie | Counselor | 4421 Knight Arnold Rd, Memphis, TN 38118-2952 | 2019-04-24 |
1396221859 | Beatrice Settles Banks | Counselor | 3068 Covington Pike Ste 5, Memphis, TN 38128-5001 | 2018-07-17 |
1629565783 | Dayciaa Mccondichie | Counselor | 3393 Kirby Rd Apt 105, Memphis, TN 38115-4224 | 2018-04-15 |
1831609379 | Republic Schools Nashville | Counselor | 3307 Brick Church Pike, Nashville, TN 37207-2301 | 2017-10-11 |
1649791393 | Vachenzia Mcgraw-mckinney | Counselor | 3750 Hacks Cross Rd Ste 102-218, Memphis, TN 38125-2367 | 2017-07-03 |
1467996819 | Melissa Moyen | Counselor | 1340 Brown Ave Nw, Cleveland, TN 37311-1868 | 2016-12-05 |
1760937163 | Tara Gordon | Counselor | 2400 Union Ave, Suite 400, Memphis, TN 38112-4318 | 2016-08-16 |
1588014302 | Stephen Sawyer | Counselor | 705 Braidwood Dr, Nashville, TN 37214-3201 | 2016-06-14 |
1457719213 | Chasity Henson | Counselor | 1098 Gateview Dr, Portland, TN 37148-2166 | 2016-02-08 |
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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.