THERESA CANIFF (NPI# 1407210172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407210172 |
| Entity Type | Individual |
| Full Name | THERESA CANIFF |
| Credential | NP |
| Practice Address |
3360 Highway 411 N Englewood TN 37329-5276 |
| Mailing Address |
1923 Sulphur Springs Rd Morristown TN 37813-5654 |
| Practice Telephone | 4238875131 |
| Practice Fax Number | 4238875917 |
| Mailing Telephone | 4233179344 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
24701 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP60833240 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209.014173 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
24701 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 338 Vinings Dr, Bloomingdale, IL 60108 | 6307779711 | 6308605262 |
| Street Address |
3360 HIGHWAY 411 N |
| City | ENGLEWOOD |
| State | TN |
| Zip Code | 37329-5276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437106416 | Rebecca J Green | Social Worker | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2006-05-27 |
| 1346884194 | Amy Lynn Hooper | Nurse's Aide | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2019-11-05 |
| 1346804127 | Cassandra Torbett | Nurse's Aide | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2019-04-26 |
| 1770042467 | Ashlee Reagan | Registered Nurse | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2019-03-13 |
| 1275003691 | Keri Lynn Workman | Licensed Practical Nurse | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2018-11-28 |
| 1821563693 | Tracey Irene Haun | Nurse's Aide | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2018-10-09 |
| 1700361474 | Shanna Lei Becker | Licensed Practical Nurse | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2018-09-28 |
| 1740760883 | Daniele Marie Kilian | Licensed Practical Nurse | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2018-08-17 |
| 1346728383 | Tonya Michelle Moses | Nurse's Aide | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2018-08-01 |
| 1114405354 | Lacie Gail Gudger | Registered Nurse | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2018-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568770956 | Eve Marla Seagal | Counselor | 3360 Hwy 411 N, Englewood, TN 37329 | 2010-09-20 |
| 1437368073 | Mary M Duvall | Internal Medicine | 3360 Highway 411 North, Englewood, TN 37329 | 2007-05-21 |
| 1902136062 | Leigh Ann Foster | Counselor | 3360 Highway 411 North, Englewood, TN 37329 | 2010-01-12 |
| 1225075781 | Monica N Masingale | Registered Nurse | 321 W Athens St, Englewood, TN 37329-3269 | 2006-06-01 |
| 1588110365 | Deidre Brown | Nurse Practitioner | 321 W Athens St, Englewood, TN 37329-3269 | 2016-08-31 |
| 1649538109 | Masingale Family Practice LLC | Nurse Practitioner | 321 W Athens St, Englewood, TN 37329-3269 | 2012-05-02 |
| 1386878403 | Cherokee Health Systems | Psychologist | 3360 Highway 411 North, Englewood, TN 37329-3269 | 2009-05-04 |
| 1316016660 | Englewood Medical Clinic | Family Medicine | 321 W Athens St, Englewood, TN 37329-3269 | 2006-11-08 |
| 1023634557 | Englewood Rural Fire Department | Ambulance | 107 Carroll St, Englewood, TN 37329-3295 | 2020-06-20 |
| 1710051339 | Elizabeth Wilson Truelove | Pharmacist | 18 Church St, Englewood, TN 37329-3301 | 2006-11-17 |
| Find all providers in zip 37329 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467857896 | Fontaine Williams | Nurse Practitioner | 9000 N Main St Ste 101, Englewood, OH 45415-1184 | 2014-10-28 |
| 1568024537 | Amanda Marie Crosson | Nurse Practitioner | 714 Doctors Dr, Englewood, FL 34223-3992 | 2019-07-01 |
| 1114430295 | Rachele Pascual Isip | Nurse Practitioner | 350 Engle St, Englewood, NJ 07631-1808 | 2017-11-10 |
| 1649708116 | Annie Varghese | Nurse Practitioner | 245 Engle St, Englewood, NJ 07631-2465 | 2017-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728272 | Sophie Jernigan | Nurse Practitioner | 561 Elaine Dr, Nashville, TN 37211-3629 | 2020-10-20 |
| 1376187849 | Prospero Health Partners, P.C. | Nurse Practitioner | 40 S Main St Ste 1300, Memphis, TN 38103-5513 | 2019-10-29 |
| 1447814017 | Terri Barger | Nurse Practitioner | 55 Chamberlain Dr, Humboldt, TN 38343-8568 | 2019-04-29 |
| 1114493848 | Sabrina Stover | Nurse Practitioner | 721 Glenwood Dr Ste W552, Chattanooga, TN 37404-1137 | 2018-10-20 |
| 1164876876 | Charlotte Bisanz | Nurse Practitioner | 5400 Maryland Way, Brentwood, TN 37027-1005 | 2016-04-19 |
| 1639573025 | Charlotte Halkiades | Nurse Practitioner | 5125 Clearpool Pt S, Memphis, TN 38141-0253 | 2014-10-15 |
| 1699109660 | Senior Health Professionals LLC | Nurse Practitioner | 300 Celebration Cir, Franklin, TN 37067-1401 | 2013-08-27 |
| 1982980231 | Health Partners of Tennessee LLC | Nurse Practitioner | 137 De Armond Rd, Kingston, TN 37763-6415 | 2011-11-01 |
| 1174816375 | Ruby K Dunlap | Nurse Practitioner | 564 Rosedale Ave, Nashville, TN 37211-2048 | 2011-05-20 |
| 1497056337 | Cameron S Wright | Nurse Practitioner | 303 S Royal Oaks Blvd, Franklin, TN 37064-8216 | 2010-11-09 |
| Find all providers with the same taxonomy | ||||
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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.