STATE OF TENNESSEE (NPI# 1427102177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427102177 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE |
| Other Organization Name | ANDERSON COUNTY HEALTH DEPARTMENT |
| Practice Address |
710 N Main St Clinton TN 37716-3143 |
| Mailing Address |
Po Box 59019 Knoxville TN 37950-9019 |
| Practice Telephone | 8654258800 |
| Practice Fax Number | 8654637950 |
| Mailing Telephone | 8654258800 |
| Mailing Fax Number | 8654637950 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2010-08-23 |
| 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 | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4447838 | 05 | |
| TN | BLUECROSS BLUESHIELD | 9408 | 01 |
| Other Name | Type Code |
|---|---|
| Anderson 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 |
710 N MAIN ST |
| City | CLINTON |
| State | TN |
| Zip Code | 37716-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719596 | Mallory O'brien | Registered Nurse | 710 N Main St, Clinton, TN 37716-3143 | 2020-10-26 |
| 1114535036 | Wesley Whisenant | Dentist | 710 N Main St, Clinton, TN 37716-3143 | 2020-07-16 |
| 1831732916 | Sarah Hogan | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2019-10-22 |
| 1083267835 | Viginia Lynn Canfield | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2019-07-22 |
| 1033694021 | Sierra Cheyenne Mccullah | Registered Nurse | 710 N Main St, Clinton, TN 37716-3143 | 2018-09-26 |
| 1114409307 | Stephanie Seeber | Licensed Practical Nurse | 710 N Main St, Clinton, TN 37716-3143 | 2018-09-04 |
| 1275029217 | Katrina Michelle Bailey | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2018-07-02 |
| 1720582174 | Tracey Jean Smith | Technician, Pathology | 710 N Main St, Clinton, TN 37716-3143 | 2018-03-21 |
| 1861995169 | Lisa Marie Lay | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2018-03-13 |
| 1427586619 | Mary Lauren Sharp | Dentist | 710 N Main St, Clinton, TN 37716-3143 | 2017-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650870 | Kellye Watkins Wilson | Dental Hygienist | 420 S. Charles Seivers Blvd, Clinton, TN 37716 | 2018-12-16 |
| 1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
| 1598157224 | Susan Price Teffeteller | Nurse Practitioner | 159 Frank L Diggs Road, Clinton, TN 37716 | 2015-03-04 |
| 1710268065 | Jimmy Neil Mcbride | Pharmacist | 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 | 2011-08-31 |
| 1265684658 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 507 South Charles Sevier Boulevard, Clinton, TN 37716 | 2008-10-16 |
| 1912186016 | Comprehensive Industrial Services Inc | Physical Therapist | 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 | 2007-10-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
| 1346389889 | Kellie Gaetz | Physical Therapist | 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 | 2007-02-05 |
| 1396883955 | Phoenix Counseling Services, Inc. | Counselor | 729 Charles Seivers, Clinton, TN 37716 | 2007-02-02 |
| Find all providers in zip 37716 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184785040 | County of Sampson | Clinic/Center | 360 County Complex Rd, Clinton, NC 28328-4778 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225375538 | Blondy Shupp | Clinic/Center | 1310 Elyse Dr, Christiana, TN 37037-1403 | 2013-01-07 |
| 1275804908 | Metro Public Health Department | Clinic/Center | 311 23rd Avenue North, Nashville, TN 37203-1511 | 2012-01-26 |
| 1598894354 | Bedford County Health Department | Clinic/Center | 1606 Collins Hollow Rd, Lewisburg, TN 37091-4058 | 2007-03-05 |
| 1306991286 | State of Tennessee | Clinic/Center | 301 Mcghee St, Maryville, TN 37801-6811 | 2007-01-24 |
| 1669527230 | State of Tennessee | Clinic/Center | 3469 New Highway 68, Madisonville, TN 37354 | 2007-01-24 |
| 1033264916 | State of Tennessee | Clinic/Center | 719 Middle Creek Rd, Sevierville, TN 37862-5016 | 2007-01-24 |
| 1598285991 | Darnell Reginald Brooks | Clinic/Center | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2017-06-27 |
| 1356712673 | Montgomery County Health Department | Clinic/Center | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2015-10-13 |
| 1164803623 | Dandelion Diversified Care | Clinic/Center | 8295 Tournament Dr, Memphis, TN 38125-8906 | 2015-06-10 |
| 1124414396 | Metropolitan Government of Nashville and Davidson City Emps | Clinic/Center | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2015-04-14 |
| 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.