KIMBERLY LEE GILLUM (NPI# 1447714431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447714431 |
| Entity Type | Individual |
| Full Name | KIMBERLY LEE GILLUM |
| Practice Address |
2347 Rossville Blvd Chattanooga TN 37408-2250 |
| Practice Telephone | 4232653122 |
| Mailing Telephone | 4232653122 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 67820 | TN | Nursing Service Providers |
| Street Address |
2347 ROSSVILLE BLVD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37408-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184674749 | Amanda Beth Shafer | Physician Assistant | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2006-05-12 |
| 1346851359 | Ashley Maag | Counselor | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2020-08-13 |
| 1861001943 | Sarah Lynne Davis | Counselor | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2020-07-24 |
| 1548893100 | Cressie Tambling | Counselor | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2020-02-21 |
| 1134752702 | Linda Leverett | Counselor | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2020-02-21 |
| 1841836335 | Rebecca Smith | Licensed Practical Nurse | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-11-20 |
| 1033754668 | Michelle Rhea Gudger | Counselor | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-11-07 |
| 1477197507 | Tiffany Isabel Hove | Counselor | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-11-01 |
| 1154965226 | Katherine Rustand | Counselor | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-11-01 |
| 1144863887 | Ellyn Nicole Stangarone | Counselor | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043766975 | Athletic Edge Physical Therapy | Clinic/Center | 1440 Adams St Ste A, Chattanooga, TN 37408 | 2016-08-31 |
| 1609287689 | Access 2 Rehab | Physical Therapist | 612 East 11th Street, Chattanooga, TN 37408 | 2014-05-13 |
| 1366873853 | Holli Richey | Social Worker | 320 E. Main St., Suite 200, Chattanooga, TN 37408 | 2013-12-09 |
| 1427397900 | Bevin Gracy | Counselor | 3069 Broad St Ste 7d, Chattanooga, TN 37408 | 2013-02-04 |
| 1932450756 | Tiffany Allen Hobbs | Registered Nurse | 1800 Rossville Avenue, Suite 114, Chattanooga, TN 37408 | 2012-09-20 |
| 1467708594 | Ctr. for Individ. & Family Effectiveness | Community/Behavioral Health | 2441 Broad St., Ste. 150, Chattanooga, TN 37408 | 2012-07-26 |
| 1538431192 | Brandon Tyler Whitworth | Physical Therapist | 1440 Adams St, Chattanooga, TN 37408 | 2012-01-29 |
| 1699059550 | David Jamison Mcdowell | Psychologist | 3097 S. Broad St., Chattanooga, TN 37408 | 2011-10-10 |
| 1093918385 | Jason L Reich | Counselor | 320 E Main Street, Suite 200, Chattanooga, TN 37408 | 2007-06-06 |
| 1063636785 | Carol Burns Stoney | Counselor | 3085 South Broad St, Suite J, Chattanooga, TN 37408 | 2007-04-12 |
| Find all providers in zip 37408 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962763292 | Zulma I Gonzalez | Licensed Practical Nurse | 8212 Fallen Maple Dr, Chattanooga, TN 37421-1244 | 2012-06-04 |
| 1386957835 | Kendra D Bryant | Licensed Practical Nurse | 921 E. 3rd St., Chattanooga Hamilton County Health Department, Chattanooga, TN 37403 | 2010-07-26 |
| 1174141394 | Carleisha Chekezia Jones | Licensed Practical Nurse | 5600 Brainerd Rd, Chattanooga, TN 37411-5310 | 2020-07-14 |
| 1962023291 | Pepper Nicole Cannon | Licensed Practical Nurse | 1301 Riverfront Pkwy, Chattanooga, TN 37402-2233 | 2020-04-28 |
| 1841836335 | Rebecca Smith | Licensed Practical Nurse | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-11-20 |
| 1215573878 | Anna Lorene Oakes | Licensed Practical Nurse | 1301 Riverfront Pkwy, Chattanooga, TN 37402-2233 | 2019-11-19 |
| 1356809354 | Letasha Walker | Licensed Practical Nurse | 5600 Brainerd Rd Ste A4, Chattanooga, TN 37411-5336 | 2019-03-08 |
| 1275097263 | Sherry Janel Bradley | Licensed Practical Nurse | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-01-24 |
| 1902360050 | David Edwards | Licensed Practical Nurse | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-01-23 |
| 1366906414 | Suella Mary Anderson | Licensed Practical Nurse | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-01-23 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37408 |
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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.