STATE OF TENNESSEE (NPI# 1467538009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467538009 |
Entity Type | Organization |
Organization Name | STATE OF TENNESSEE |
Other Organization Name | LAKESHORE MENTAL HEALTH INSTITUTE |
Practice Address |
5908 Lyons View Pike Knoxville TN 37919 |
Practice Telephone | 8655841561 |
Practice Fax Number | 8654505203 |
Mailing Telephone | 8655841561 |
Mailing Fax Number | 8654505203 |
Enumeration Date | 2006-10-27 |
Last Update Date | 2012-03-20 |
Authorized Official Name | MR. RICHARD L THOMAS (CHIEF EXECUTIVE OFFICER - CEO) |
Authorized Official Telephone | 8655838888 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | L2161051102 | TN | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 0444000 | 05 | |
TN | CIGNA MEDICARE PART B | 3282144 | 01 |
TN | BCBS | 0010800 | 01 |
Other Name | Type Code |
---|---|
Lakeshore Mental Health Institute | 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 |
5908 LYONS VIEW PIKE |
City | KNOXVILLE |
State | TN |
Zip Code | 37919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306824263 | Carol Kraemer Witherington | Nurse Practitioner | 5908 Lyons View Pike, Knoxville, TN 37919-7520 | 2006-01-02 |
1598049512 | John Frederick Richardson II | Speech-Language Pathologist | 5908 Lyons View Pike, Knoxville, TN 37919-7520 | 2011-10-10 |
1396969028 | Shawn David Hassler | Psychologist | 5908 Lyons View Pike, Psychology, Knoxville, TN 37919-7520 | 2007-04-12 |
1669593695 | Martha Nelson | Pharmacist | 5908 Lyons View Pike, Knoxville, TN 37919-7520 | 2007-04-03 |
1073634770 | Thomas Joseph Porter | Pharmacist | 5908 Lyons View Pike, Knoxville, TN 37919-7520 | 2007-04-02 |
1386765980 | Sarah A Ebbs | Pharmacist | 5908 Lyons View Pike, Knoxville, TN 37919-7520 | 2007-04-02 |
1295777019 | State of Tennessee State F & A Payroll | Pharmacy | 5908 Lyons View Pike, Knoxville, TN 37919-7520 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
Find all providers in zip 37919 |
Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from 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 |
---|---|---|---|---|
1114452216 | Cherie J Landon | Psychiatric Hospital | 7206 John Norton Rd, Knoxville, TN 37920-6630 | 2017-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568006633 | Cumberland Behavioral Health, LLC | Psychiatric Hospital | 300 Great Circle Rd, Nashville, TN 37228-1752 | 2019-11-01 |
1124672704 | Tristar Maury Behavioral Healthcare, LLC | Psychiatric Hospital | 1001 N James M Campbell Blvd, Columbia, TN 38401-2689 | 2019-07-31 |
1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
1235516097 | Behavioral Healthcare Center At Memphis, Inc. | Psychiatric Hospital | 1505 N Second Street, Memphis, TN 38107 | 2015-04-30 |
1215324033 | Aaa Psychiatric Services, Pllc | Psychiatric Hospital | 5147 Wemberley Dr, Memphis, TN 38125-3469 | 2015-04-20 |
1932592953 | Generations Behavioral Health LLC | Psychiatric Hospital | 4423 Forsythe Place, Nashville, TN 37205 | 2015-03-16 |
1497012959 | Trustpoint Hospital, LLC | Psychiatric Hospital | 1009 N. Thompson Ln, Murfreesboro, TN 37128 | 2012-04-20 |
1346570777 | Behavioral Healthcare Center At Clarksville Inc | Psychiatric Hospital | 930 Professional Park Drive, Clarksville, TN 37040 | 2010-01-07 |
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.