IDA MAE BOATMAN (NPI# 1346405958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346405958 |
| Entity Type | Individual |
| Full Name | IDA MAE BOATMAN |
| Practice Address |
229 Hedrick Dr Newport TN 37821-2902 |
| Mailing Address |
Po Box 577 Newport TN 37822-0577 |
| Practice Telephone | 4236231057 |
| Practice Fax Number | 4236258620 |
| Mailing Telephone | 4236133300 |
| Mailing Fax Number | 4236234088 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2267 | TN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 Wilton Springs Rd, Newport, TN 378216405 | 4234872222 | 4236237787 |
| 3222 Chestnut Hill School Rd, Dandridge, TN 377257238 | 8655096611 | 8655098811 |
| 111 Mockingbird Ave, Parrottsville, TN 378432741 | 4236251170 | 4236253618 |
| Street Address |
229 HEDRICK DR |
| City | NEWPORT |
| State | TN |
| Zip Code | 37821-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013998038 | Melissa Rae Lamb | Nurse Practitioner | 229 Hedrick Dr, Newport, TN 37821-2902 | 2005-11-08 |
| 1053895474 | Brandi Michelle Haynes | Nurse Practitioner | 229 Hedrick Dr, Newport, TN 37821 | 2018-09-21 |
| 1649750811 | Brittany D Dixon | Nurse Practitioner | 229 Hedrick Dr, Newport, TN 37821-2902 | 2018-08-17 |
| 1134605124 | Emily Hensley Barnett | Nurse Practitioner | 229 Hedrick Dr, Newport, TN 37821-2902 | 2018-07-13 |
| 1811393374 | Kristi Michelle Ryan | Nurse Practitioner | 229 Hedrick Dr, Newport, TN 37821-2902 | 2014-11-11 |
| 1861833436 | Kristi Dale Bradshaw | Nurse Practitioner | 229 Hedrick Dr, Newport, TN 37821-2902 | 2013-07-11 |
| 1518223130 | Justin Reno | Family Medicine | 229 Hedrick Dr, Newport, TN 37821-2902 | 2012-04-09 |
| 1659528743 | Nathan William Dewitt | Family Medicine | 229 Hedrick Dr, Newport, TN 37821-2902 | 2008-08-20 |
| 1295938108 | Sharmian Wyrick Mccoy | Marriage & Family Therapist | 229 Hedrick Dr, Newport, TN 37821-2902 | 2007-06-07 |
| 1194796177 | Rachel A Mathers | Registered Nurse | 229 Hedrick Dr, Newport, TN 37821-2902 | 2006-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733593 | Deborah Diane Webb | Licensed Practical Nurse | 1203 Beechwood Road, Newport, TN 37821 | 2019-04-08 |
| 1972072353 | Meg Marie Collins | Counselor | 990 Hwy 25, Newport, TN 37821 | 2018-11-15 |
| 1184199515 | Newport Family Eyecare | Optometrist | 1002 W Highway 25/70, Newport, TN 37821 | 2018-10-12 |
| 1578807269 | Newport Eyecare Center Pllc | Optometrist | 115 Hedrick Drive, Newport, TN 37821 | 2012-11-19 |
| 1538292867 | James Loran Hodge | Optometrist | 1075 Cosby Highway, Newport, TN 37821 | 2007-03-14 |
| 1336271071 | Alice Louise Dalton | Case Manager/Care Coordinator | 215 Hedrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1700918521 | Kristi Renee Hansel | Case Manager/Care Coordinator | 215 Hendrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1255404497 | Jeremy E Sherrod | Pharmacist | 602 E Broadway, Newport, TN 37821 | 2006-11-16 |
| 1316016306 | Stephen Kent Priser | Pharmacist | 468 Eastern Plaza, Newport, TN 37821 | 2006-11-06 |
| 1881770006 | Steven Fuller Smith | Dentist | 305 Cosby Hwy, Newport, TN 37821 | 2006-10-31 |
| Find all providers in zip 37821 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020691 | Coastal Counseling & Consulting LLC | Counselor | 1638 N Coast Hwy, Newport, OR 97365-2357 | 2020-07-20 |
| 1871957852 | Brandon Dyer | Counselor | 1606 New Bern St, Newport, NC 28570-9634 | 2016-04-06 |
| 1356755326 | Peggy Defazio | Counselor | 753 Nw Brook St, Newport, OR 97365-3435 | 2014-06-17 |
| 1407190101 | Naomi Beth Josiah | Counselor | 1244 Nw Oceanview Dr, Newport, OR 97365-2437 | 2012-11-19 |
| 1174879035 | Timothy J Rogers | Counselor | 209 Nw 2nd St, Newport, OR 97365-3756 | 2012-07-30 |
| 1215157730 | Deanne A Bishop | Counselor | 306 Sw Coast Hwy Ste C, Newport, OR 97365-4903 | 2007-04-26 |
| 1881228799 | Arbor Springs Counseling | Counselor | 528 Clifton Heights Rd, Newport, TN 37821-2503 | 2020-02-29 |
| 1023534096 | Erika Muncy | Counselor | 718 Columbia St, Newport, KY 41071-1837 | 2017-08-21 |
| 1285154989 | Susan Hogan | Counselor | 718 Columbia St, Newport, KY 41071-1837 | 2017-06-23 |
| 1649703414 | Jennifer E Beall | Counselor | 303 21st St, Suite 232, Newport, MN 55055-1094 | 2017-04-07 |
| Find all providers in NEWPORT | ||||
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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.