ANTUAN EUGENIA CORNELIUS (NPI# 1306302021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306302021 |
Entity Type | Individual |
Full Name | ANTUAN EUGENIA CORNELIUS |
Practice Address |
813 Peachers Mill Rd Clarksville TN 37042-5419 |
Practice Telephone | 9313024500 |
Mailing Telephone | 9313024500 |
Enumeration Date | 2019-02-18 |
Last Update Date | 2019-02-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | 23765 | TN | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | VA | 62-183507 | 01 |
Street Address |
813 PEACHERS MILL RD |
City | CLARKSVILLE |
State | TN |
Zip Code | 37042-5419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275186603 | Elizabeth Louise Eckart | Physical Therapist | 305 Rue Le Mans Dr., Clarksville, TN 37042 | 2019-07-24 |
1740844802 | Lana Sperry | Speech-Language Pathologist | 1255 Northfield Drive, Clarksville, TN 37042 | 2019-04-24 |
1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
1336590058 | Bobby Bonner Jr. | Case Manager/Care Coordinator | 1697putnum Drive, Clarksville, TN 37042 | 2016-06-23 |
1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
1346621323 | Rocky Mountain Holdings, LLC | Ambulance | 248 Outlaw Field Rd, Clarksville, TN 37042 | 2015-06-15 |
1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
1851709331 | Brent Michael Hazlewood | Dentist | 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 | 2014-07-28 |
1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
Find all providers in zip 37042 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841657780 | Sarah Roberts | Contractor | 3148 Arrow Ln, Clarksville, TN 37043-2458 | 2016-01-22 |
1972826329 | Bonita A Owens | Contractor | 159 Valley Crest Ln, Clarksville, TN 37043-2889 | 2010-03-12 |
1609916014 | Annette Louise Bergeron | Contractor | 6541 Haviland Mill Rd, Clarksville, MD 21029-1314 | 2007-02-07 |
1194171306 | Phoebe C Bell | Contractor | 1205 Applegate Ln, Clarksville, IN 47129-9608 | 2016-05-05 |
1750593828 | Therapy Made Fun Inc | Contractor | 1000 W Buchanan St, Clarksville, AR 72830-2252 | 2007-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689288755 | Indi Arrington Shelton | Contractor | 1904 Meharry Blvd # 3, Nashville, TN 37208-2900 | 2020-09-04 |
1962021568 | Roberto Antonio Moreno Gonzalez | Contractor | 10226 Stellata Ln, Apison, TN 37302-1706 | 2020-04-13 |
1184261299 | Chester Arthur Ashford Jr. | Contractor | 10257 Eveninghill Dr, Cordova, TN 38016-0334 | 2019-12-09 |
1104469147 | Tami Lea Davis | Contractor | 3608 Highway 230, Hurricane Mills, TN 37078-2163 | 2019-10-22 |
1093366569 | Lisa Isom | Contractor | 485 Hazelwood Rd, Memphis, TN 38109-3259 | 2019-09-25 |
1366002396 | Thomas Eddins | Contractor | 4646 Poplar Ave Ste 437, Memphis, TN 38117-4443 | 2019-06-20 |
1124588082 | Mary Campbell | Contractor | 6220 Shallowford Rd Apt 573, Chattanooga, TN 37421-6921 | 2019-03-25 |
1275090649 | Cure Orthopedics, LLC | Contractor | 4327 Signal Hill Dr, Nashville, TN 37205-3821 | 2019-02-21 |
1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
1326588237 | Pierre Dunem | Contractor | 4610 Plaza Hills Ln, A3, Hixson, TN 37343-4749 | 2017-02-27 |
Find all providers with the same taxonomy |
City | CLARKSVILLE |
Zip Code | 37042 |
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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.