RAVEN NICOLE BROYLES (NPI# 1437331436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437331436 |
| Entity Type | Individual |
| Full Name | RAVEN NICOLE BROYLES |
| Other Name | RAVEN NICOLE PERKEY |
| Credential | BS |
| Practice Address |
501 Adesa Blvd Ste A-150 Lenoir City TN 37771 |
| Mailing Address |
Department 888182 Knoxville TN 37995-8182 |
| Practice Telephone | 8659868082 |
| Practice Fax Number | 8659865890 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
501 ADESA BLVD STE A-150 |
| City | LENOIR CITY |
| State | TN |
| Zip Code | 37771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235137415 | Amir Ali A Hussaini | Psychiatry & Neurology | 501 Adesa Blvd, Suite A-150, Lenoir City, TN 37771-6725 | 2005-07-12 |
| 1225641319 | Keri Rebecca Bell | Licensed Practical Nurse | 501 Adesa Blvd, Lenoir City, TN 37771-6725 | 2020-08-28 |
| 1629623087 | Laurie Apa | Counselor | 501 Adesa Blvd, Lenoir City, TN 37771-6725 | 2019-08-02 |
| 1144730870 | Thyra Lynn Folkard | Case Manager/Care Coordinator | 501 Adesa Blvd, Lenoir City, TN 37771-6725 | 2017-10-09 |
| 1669907853 | Allison Detig | Physical Therapist | 501 Adesa Blvd, Lenoir City, TN 37771-6725 | 2017-04-25 |
| 1861931800 | Betty Edwards | Registered Nurse | 501 Adesa Blvd, Suite A-150, Lenoir City, TN 37771-6725 | 2017-02-22 |
| 1528515335 | Rebecca Matlock | Social Worker | 501 Adesa Blvd, Suite A-150, Lenoir City, TN 37771-6725 | 2016-09-09 |
| 1720480106 | Hilary Ann Parker | Counselor | 501 Adesa Blvd, Suite A-150, Lenoir City, TN 37771-6725 | 2014-09-17 |
| 1497992309 | Cherokee Health Systems | Psychologist | 501 Adesa Blvd, Ste A-150, Lenoir City, TN 37771-6719 | 2009-01-14 |
| 1043432057 | Connie F Rust | Pharmacist | 501 Adesa Blvd, Lenoir City, TN 37771 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801380621 | Geetika Chirumamilla | Dentist | 375 Kelsey Lane, Suite 1, Lenoir City, TN 37771 | 2018-06-15 |
| 1669918256 | Patrick Anthony Albanese | Pharmacist | 875 Hwy 321 N, Unit 600, Lenoir City, TN 37771 | 2017-01-06 |
| 1598014482 | Comprehensive Healthcare Systems of Lenoir City, PC | Contractor | 780 Highway 321 North Ste 10, Lenoir City, TN 37771 | 2012-09-06 |
| 1750619797 | James Olin Morris | Nurse Practitioner | 840 Hwy 321 N., Living Well Health Cooperative Clinic, Lenoir City, TN 37771 | 2009-12-03 |
| 1427284363 | Charles Preston Mccary IIi | Dentist | 603 Hwy 321 N., Lenoir City, TN 37771 | 2009-06-05 |
| 1619129004 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 300 Market Drive, Lenoir City, TN 37771 | 2008-10-16 |
| 1396898052 | David Wayne Holt | Chiropractor | 1005 E Broadway, Lenoir City, TN 37771 | 2007-01-18 |
| 1558428151 | Peter E Mueller | Optometrist | 911 Hwy 321 N, Lenoir City, TN 37771 | 2007-01-02 |
| 1871661371 | Darrick Shane Blankenship | Occupational Therapist | 785 Us Hwy 321 N, Ste 20, Lenoir City, TN 37771 | 2006-12-01 |
| 1851460224 | Cheryl S. Cason | Pharmacy Technician | 501 Adesa Blvd., Suite A 150, Lenoir City, TN 37771 | 2006-11-07 |
| Find all providers in zip 37771 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232066 | Georgina Hatfield | Case Manager/Care Coordinator | 501 Adesa Blvd Ste A150, Lenoir City, TN 37771-6719 | 2019-08-29 |
| 1255825618 | Katharine Faye Taube | Case Manager/Care Coordinator | 501 Adesa Blvd Ste A150, Lenoir City, TN 37771-6719 | 2018-06-19 |
| 1750881967 | Laurel Baye Penley | Case Manager/Care Coordinator | 1475 Simpson Rd W Ste 2, Lenoir City, TN 37771-6686 | 2018-02-14 |
| 1144730870 | Thyra Lynn Folkard | Case Manager/Care Coordinator | 501 Adesa Blvd, Lenoir City, TN 37771-6725 | 2017-10-09 |
| 1487023610 | Brookelyn Carr | Case Manager/Care Coordinator | 501 Adessa Pkwy, Suite A-150, Lenoir City, TN 37771-6725 | 2015-09-17 |
| 1922264613 | Amy Janel Fitzsimmons | Case Manager/Care Coordinator | 501 Adessa Pkwy, Ste A-150, Lenoir City, TN 37771-6725 | 2008-08-01 |
| 1831218668 | Brandi Sunshine Pride | Case Manager/Care Coordinator | 501 Adesa Blvd, Ste A150, Lenoir City, TN 37771 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606755 | Kathy Ann Miller | Case Manager/Care Coordinator | 296 Colony Ln Nw, Cleveland, TN 37312-6411 | 2020-10-14 |
| 1124635941 | Faye G Grubb | Case Manager/Care Coordinator | 338 Headrickview Dr, Maryville, TN 37804-3878 | 2020-09-25 |
| 1255945283 | Vanessa Elaine Davis | Case Manager/Care Coordinator | 2215 Amherst Rd, Knoxville, TN 37921-4902 | 2020-09-08 |
| 1003449166 | Jonathan Hill | Case Manager/Care Coordinator | 310 W 3rd North St Bldg 1, Morristown, TN 37814-4038 | 2020-02-18 |
| 1982246773 | Solutionology Health | Case Manager/Care Coordinator | 3174 Lower Lick Creek Rd, Linden, TN 37096-5314 | 2019-10-13 |
| 1427699537 | Tytiauna Ruffin | Case Manager/Care Coordinator | 3006 Lake Brook Blvd # 1, Knoxville, TN 37909-1137 | 2019-10-01 |
| 1053967356 | Lindsi Blair | Case Manager/Care Coordinator | 601 Arthur St, Knoxville, TN 37921-6406 | 2019-08-13 |
| 1316590201 | James Eugene Jones | Case Manager/Care Coordinator | 312 Brandiwood Ct, Old Hickory, TN 37138-4219 | 2019-07-19 |
| 1891253225 | Jessica L White | Case Manager/Care Coordinator | 600 Arthur St # A, Knoxville, TN 37921-6405 | 2019-03-05 |
| 1972060010 | Gloria Ensign-o'neal | Case Manager/Care Coordinator | 3741 Southbend Dr, Murfreesboro, TN 37128-5100 | 2019-02-25 |
| Find all providers with the same taxonomy | ||||
| City | LENOIR CITY |
| Zip Code | 37771 |
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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.