STATE OF TENNESSEE (NPI# 1316085236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316085236 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE |
| Other Organization Name | LOUDON COUNTY HEALTH DEPARTMENT |
| Practice Address |
600 Rayder Ave Loudon TN 37774-1050 |
| Mailing Address |
Po Box 59019 Knoxville TN 37950-9019 |
| Practice Telephone | 8654582514 |
| Practice Fax Number | 8654588587 |
| Mailing Telephone | 8655495266 |
| Mailing Fax Number | 8655948919 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2009-11-16 |
| Authorized Official Name | MARIANNE F SHARP (REGIONAL ACCOUNTANT) |
| Authorized Official Telephone | 8655495266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUECROSS BLUESHIELD TN | 2000191 | 01 |
| TN | 4447829 | 05 |
| Other Name | Type Code |
|---|---|
| Loudon County Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417337056 | State of Tennessee | Physical Therapist | 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 | 2015-06-08 |
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1871997163 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 803 Redbud Dr, Greeneville, TN 37743-6141 | 2014-10-15 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1114330545 | State of Tennessee | Occupational Therapist | 301 Stewarts Ferry Pike, Didd Middle Tn Seating and Positioning Clinic, Nashville, TN 37214-3340 | 2014-06-03 |
| 1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
| 1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| Street Address |
600 RAYDER AVE |
| City | LOUDON |
| State | TN |
| Zip Code | 37774-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487645198 | Gordon Joseph Baird Jr. | Dentist | 600 Rayder Ave, Loudon, TN 37774-1050 | 2005-11-02 |
| 1972147148 | Sarah Dimsdale | Nutritionist | 600 Rayder Ave, Loudon, TN 37774-1050 | 2019-10-31 |
| 1386291557 | Tiffany Allison Harris | Nutritionist | 600 Rayder Ave, Loudon, TN 37774-1050 | 2019-08-22 |
| 1164912176 | Briana Robison | Dietitian, Registered | 600 Rayder Ave, Loudon, TN 37774-1050 | 2018-05-15 |
| 1609313089 | Lee Phillipy Young | Registered Nurse | 600 Rayder Ave, Loudon, TN 37774-1050 | 2017-01-24 |
| 1720524655 | Vicky Sexton | Nurse's Aide | 600 Rayder Ave, Loudon, TN 37774-1050 | 2017-01-17 |
| 1821315805 | Susan Elaine Seals | Registered Nurse | 600 Rayder Ave, Loudon, TN 37774-1050 | 2010-04-29 |
| 1740311141 | Vanessa Lowe | Nurse's Aide | 600 Rayder Ave, Loudon, TN 37774-1050 | 2007-03-08 |
| 1790824019 | Dianne L. Overton | Occupational Therapy Assistant | 600 Rayder Ave, Loudon, TN 37774-1050 | 2007-02-05 |
| 1891834370 | Elvia Gossett | Social Worker | 600 Rayder Ave, Loudon, TN 37774-1050 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947420 | Ciarra Coleman | Speech-Language Pathologist | 1432 East Lee Hwy, Loudon, TN 37774 | 2020-09-22 |
| 1700302098 | Summit Medical Group, Pllc | Internal Medicine | 202 Dohi Drive, Loudon, TN 37774 | 2017-08-17 |
| 1114350915 | Rebekah Leigh Tripp | Audiologist | 806 Mulberry St, Loudon, TN 37774 | 2013-08-15 |
| 1831359686 | Irina Lavrik | Family Medicine | 2480 Hwy 72 N, Loudon, TN 37774 | 2008-06-16 |
| 1821200650 | Shelly Diane Cox | Physical Therapy Assistant | 15,000 Hwy 72 N, Loudon, TN 37774 | 2007-05-04 |
| 1720103310 | Michael Doyle | Dentist | 16374 Hotchkiss Valley Road East, Loudon, TN 37774 | 2007-03-20 |
| 1063506954 | John W Burns Jr. | Dentist | 220 Village Square, Loudon, TN 37774 | 2006-10-03 |
| 1477594521 | John Darryl Sanabria | Family Medicine | 15000 Hwy 72 North, Loudon, TN 37774 | 2006-06-09 |
| 1285972950 | Munsey Pharmacy of Loudon | Pharmacy | 702 Grove St, Loudon, TN 37774 | 2013-01-30 |
| 1700109402 | University Health System, Inc | Family Medicine | 2480 Hwy 72 N, Loudon, TN 37774 | 2010-03-09 |
| Find all providers in zip 37774 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054068 | Serious Healthcare Corporation | Public Health or Welfare | 100 Cherokee Blvd Ste 2010, Chattanooga, TN 37405-3864 | 2020-05-14 |
| 1477017150 | Christopher Todd Crouse | Public Health or Welfare | 963 Promenade Dr, Adams, TN 37010-1400 | 2019-01-26 |
| 1184195612 | Management Solutions LLC | Public Health or Welfare | 2202 Award Winning Way Ste 201, Knoxville, TN 37932-1992 | 2018-12-10 |
| 1144739764 | Roots Healthcare and Homes, LLC | Public Health or Welfare | 1150 Saunders Ave, Memphis, TN 38127-5229 | 2017-09-26 |
| 1285155150 | Helping Hands of Middle & West Tennessee | Public Health or Welfare | 1408 N Highland Ave Ste 100, Jackson, TN 38301-3450 | 2017-06-30 |
| 1881068757 | Alcoa Fire Department | Public Health or Welfare | 2010 N Wright Rd, Alcoa, TN 37701-3804 | 2015-11-16 |
| 1124494059 | Tennessee Department of Children's Services | Public Health or Welfare | 436 6th Ave N, Nashville, TN 37243-9004 | 2015-08-14 |
| 1477975654 | Mull Foundation | Public Health or Welfare | 6796 Blue Lake Ln, Memphis, TN 38141-0582 | 2014-01-07 |
| 1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
| 1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STATE OF TENNESSEE.
| 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.