STATE OF TENNESSEE (NPI# 1447397666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447397666 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE |
| Other Organization Name | WASHINGTON COUNTY HEALTH DEPARTMENT |
| Practice Address |
219 Princeton Rd Johnson City TN 37601-2062 |
| Practice Telephone | 4239794609 |
| Practice Fax Number | 4239793271 |
| Mailing Telephone | 4239752200 |
| Mailing Fax Number | 4239752210 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MR. JAMES TIMOTHY CARSON (COUNTY DIRECTOR 3) |
| Authorized Official Telephone | 4239757927 |
| Authorized Official Credential | MSEH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | ========= | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 444-7994 | 05 |
| Other Name | Type Code |
|---|---|
| Washington 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 |
219 PRINCETON RD |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316967144 | Susan Miranda Peoples | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2006-07-21 |
| 1083239172 | Heather Marie Tester | Dental Assistant | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2020-06-15 |
| 1376168559 | Nikki Marie Wright | Dental Assistant | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2020-06-12 |
| 1114564168 | Ashley Lyons | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-12-09 |
| 1871140194 | Rachel Miller | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-08-21 |
| 1598328320 | Rachel Denise Hobbs | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-04-17 |
| 1447712179 | Sarah Elizabeth Boop | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-04-02 |
| 1306347349 | Amy Shelton | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2018-02-26 |
| 1487154019 | Amanda F Boone | Licensed Practical Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2018-02-20 |
| 1700394335 | Leslie 'nikki' Nichole Morris | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2018-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437298817 | Tn Dept of Health | Public Health or Welfare | 1233 Southwest Ave.ext., Johnson City, TN 37604-6519 | 2007-02-05 |
| 1730227059 | State of Tennessee | Public Health or Welfare | 1233 Southwest Ave. Ext., Johnson City, TN 37604 | 2007-02-01 |
| 1801191879 | State of Tennessee | Public Health or Welfare | 1233 Southwest Ave Ext, Johnson City, TN 37604-6519 | 2011-01-21 |
| 1336301696 | Washington County Health Department | Public Health or Welfare | 415 State of Franklin Rd, Johnson City, TN 37604-6034 | 2008-06-27 |
| 1568640456 | Health Care Provider | Public Health or Welfare | 415 State of Franklin Rd, Johnson City, TN 37604-6034 | 2008-02-04 |
| 1225167414 | County of Stanton | Public Health or Welfare | 114 North Main Street, Johnson City, KS 67855-0548 | 2007-03-05 |
| 1023159993 | State of Tennessee | Public Health or Welfare | 1233 Southwest Ave. Ext., Johnson City, TN 37604 | 2007-02-12 |
| 1245386010 | State of Tennessee | Public Health or Welfare | 185 Treasure Lane, Johnson City, TN 37604 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054068 | Serious Healthcare Corporation | Public Health or Welfare | 100 Cherokee Blvd Ste 2010, Chattanooga, TN 37405-3864 | 2020-05-14 |
| 1477017150 | Christopher Todd Crouse | Public Health or Welfare | 963 Promenade Dr, Adams, TN 37010-1400 | 2019-01-26 |
| 1184195612 | Management Solutions LLC | Public Health or Welfare | 2202 Award Winning Way Ste 201, Knoxville, TN 37932-1992 | 2018-12-10 |
| 1144739764 | Roots Healthcare and Homes, LLC | Public Health or Welfare | 1150 Saunders Ave, Memphis, TN 38127-5229 | 2017-09-26 |
| 1285155150 | Helping Hands of Middle & West Tennessee | Public Health or Welfare | 1408 N Highland Ave Ste 100, Jackson, TN 38301-3450 | 2017-06-30 |
| 1881068757 | Alcoa Fire Department | Public Health or Welfare | 2010 N Wright Rd, Alcoa, TN 37701-3804 | 2015-11-16 |
| 1124494059 | Tennessee Department of Children's Services | Public Health or Welfare | 436 6th Ave N, Nashville, TN 37243-9004 | 2015-08-14 |
| 1477975654 | Mull Foundation | Public Health or Welfare | 6796 Blue Lake Ln, Memphis, TN 38141-0582 | 2014-01-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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.