MACKENZIE CAITLIN GRAVES (NPI# 1366095986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366095986 |
| Entity Type | Individual |
| Full Name | MACKENZIE CAITLIN GRAVES |
| Practice Address |
2101 Medical Center Way Knoxville TN 37920-3257 |
| Mailing Address |
3664 Hickory Valley Rd Maynardville TN 37807-1912 |
| Practice Telephone | 8655495237 |
| Mailing Telephone | 8655995358 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
230633 | TN | Nursing Service Providers |
| Street Address |
2101 MEDICAL CENTER WAY |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-3257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942237474 | Deborah G Allen | Internal Medicine | 2101 Medical Center Way, Knoxville, TN 37920 | 2006-06-28 |
| 1033672092 | Abigail Rich | Registered Nurse | 2101 Medical Center Way, Knoxville, TN 37920-3257 | 2019-04-08 |
| 1245796408 | Stephanie Lauren Paul | Community Health Worker | 2101 Medical Center Way, Knoxville, TN 37920-3257 | 2019-02-13 |
| 1508335399 | Sintia Natalie Rodriguez | Nurse's Aide | 2101 Medical Center Way, Knoxville, TN 37920-3257 | 2018-11-21 |
| 1881178739 | Ashley Jeffers | Registered Nurse | 2101 Medical Center Way, Knoxville, TN 37920-3257 | 2018-09-17 |
| 1548749831 | Cassandra Phillips | Community Health Worker | 2101 Medical Center Way, Knoxville, TN 37920-3257 | 2018-08-08 |
| 1710476270 | Dondrea Bostick | Nurse Practitioner | 2101 Medical Center Way, Knoxville, TN 37920-3257 | 2018-05-09 |
| 1184147894 | Olivia Norman | Registered Nurse | 2101 Medical Center Way, Knoxville, TN 37950 | 2017-07-25 |
| 1205289840 | Courtney Smith | Registered Nurse | 2101 Medical Center Way, Knoxville, TN 37920-3257 | 2016-07-19 |
| 1124470760 | Summer Brown | Registered Nurse | 2101 Medical Center Way, Knoxville, TN 37920-3257 | 2016-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255521118 | Kathleen Gail Howell | Registered Nurse | 5909 Braelinn Dr, Knoxville, TN 37918-9029 | 2007-07-26 |
| 1023650579 | Melissa Christine Hill | Registered Nurse | 140 Dameron Ave, Knoxville, TN 37917-6434 | 2019-10-16 |
| 1932755485 | Melissa S Moon | Registered Nurse | 140 Dameron Ave, Knoxville, TN 37917-6413 | 2019-08-12 |
| 1912563305 | Amanda Phillips | Registered Nurse | 140 Dameron Ave, Knoxville, TN 37917-6413 | 2019-05-13 |
| 1033672092 | Abigail Rich | Registered Nurse | 2101 Medical Center Way, Knoxville, TN 37920-3257 | 2019-04-08 |
| 1558841213 | Karla Fox | Registered Nurse | 140 Dameron Ave, Knoxville, TN 37917-6413 | 2018-08-21 |
| 1144720095 | Tracie Michelle Blankenship | Registered Nurse | 140 Dameron Ave, Knoxville, TN 37917-6413 | 2018-02-16 |
| 1184147894 | Olivia Norman | Registered Nurse | 2101 Medical Center Way, Knoxville, TN 37950 | 2017-07-25 |
| 1205289840 | Courtney Smith | Registered Nurse | 2101 Medical Center Way, Knoxville, TN 37920-3257 | 2016-07-19 |
| 1124470760 | Summer Brown | Registered Nurse | 2101 Medical Center Way, Knoxville, TN 37920-3257 | 2016-07-07 |
| Find all providers in KNOXVILLE | ||||
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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.