JUDITH WANGARI GICHIA-WALDROP (NPI# 1396363420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396363420 |
| Entity Type | Individual |
| Full Name | JUDITH WANGARI GICHIA-WALDROP |
| Practice Address |
202 W Fairview Ave Johnson City TN 37604-5611 |
| Mailing Address |
Po Box 70403 Johnson City TN 37614-1703 |
| Practice Telephone | 4234397371 |
| Practice Fax Number | 4232320420 |
| Mailing Telephone | 4234394381 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 215790 | TN | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
27897 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1276 Gilbreath Dr, Johnson City, TN 376146503 | 4234391000 |
| Street Address |
202 W FAIRVIEW AVE |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093990608 | East Tennessee State University | Clinic/Center | 202 W Fairview Ave, Johnson City, TN 37604-5611 | 2008-01-02 |
| 1720550288 | Jennifer Lyn Whitehead | Social Worker | 202 W Fairview Ave, Johnson City, TN 37604-5611 | 2018-12-21 |
| 1275050627 | Leslie Bodo | Nurse Practitioner | 202 W Fairview Ave, Johnson City, TN 37604-5611 | 2017-08-26 |
| 1699921981 | Janice Lynn Lazear | Nurse Practitioner | 202 W Fairview Ave, Johnson City, TN 37604-5611 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801448584 | Christopher Zachary Witkowski | Nurse Practitioner | 8 Parwood Ct, Johnson City, TN 37601-2179 | 2019-07-12 |
| 1922068022 | Constance Sue Lackner-mullins | Nurse Practitioner | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2006-03-24 |
| 1932740941 | Denis Kipkemoi Rono | Nurse Practitioner | 2700 S Roan St Ste 425, Johnson City, TN 37601-7587 | 2019-10-01 |
| 1093281297 | Ernest David Maupin | Nurse Practitioner | 2151 Century Ln, Johnson City, TN 37604-4469 | 2018-10-16 |
| 1225588007 | Melissa Ann Taylor | Nurse Practitioner | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2016-10-05 |
| 1831554575 | Paige R Mullins | Nurse Practitioner | 2151 Century Ln, Johnson City, TN 37604-4469 | 2015-12-23 |
| 1902213275 | Jasmine Michelle Love | Nurse Practitioner | 403 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2014-07-17 |
| 1194149229 | Terri E Schreiner | Nurse Practitioner | 365 Stout Dr. Suite 160, Johnson City, TN 37614-7114 | 2014-02-10 |
| 1720337264 | Kathrene Carter Brendell | Nurse Practitioner | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2012-08-30 |
| 1124387857 | Becca Jo Ward | Nurse Practitioner | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2012-05-15 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on JUDITH WANGARI GICHIA-WALDROP.
| 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.