KIDSCARE CLINIC INC (NPI# 1467702456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467702456 |
| Entity Type | Organization |
| Organization Name | KIDSCARE CLINIC INC |
| Practice Address |
1029 W Main St Suite O Lebanon TN 37087-3351 |
| Mailing Address |
1029 W Main St Suite M Lebanon TN 37087-3351 |
| Practice Telephone | 6154531252 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | CHARLES ANDREW JORDAN (OWNER) |
| Authorized Official Telephone | 6154531252 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1029 W MAIN ST SUITE O |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730533092 | Margaret Hadley | Nurse Practitioner | 1029 W Main St, Suite M, Lebanon, TN 37087-3351 | 2016-04-22 |
| 1902280183 | Integrity Rehabilitation Group | Clinic/Center | 1029 W Main St, Lebanon, TN 37087-3351 | 2015-07-16 |
| 1730572959 | Hannah Porterfield | Nurse Practitioner | 1029 W Main St, Ste. M, Lebanon, TN 37087-3351 | 2015-03-12 |
| 1548582588 | Kelly K Gentry | Nurse Practitioner | 1029 W Main St, Suite M, Lebanon, TN 37087-3351 | 2010-02-18 |
| 1801129440 | Brandy Nicole Tomlinson | Nurse Practitioner | 1029 W Main St, Suite M, Lebanon, TN 37087-3351 | 2009-09-15 |
| 1295934271 | Jacquelyn Angel Reeves | Nurse Practitioner | 1029 W Main St, Suite M, Lebanon, TN 37087-3351 | 2007-07-11 |
| 1437289220 | Mary K Wetsell | Nurse Practitioner | 1029 W Main St, Suite M, Lebanon, TN 37087-3351 | 2007-03-07 |
| 1104964576 | Cumberland Pediatric Associates | Clinic/Center | 1029 W Main St, Suite M, Lebanon, TN 37087-3351 | 2007-02-01 |
| 1083784235 | Charles Andrew Jordan | Pediatrics | 1029 W Main St, Suite M, Lebanon, TN 37087-3351 | 2006-11-08 |
| 1134298078 | Yvonne Waclawa Pawlowski | Pediatrics | 1029 W Main St, Suite M, Lebanon, TN 37087-3351 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134454 | Careatc | Clinic/Center | 1126 Walnut St Ste B, Lebanon, PA 17042-5939 | 2019-09-24 |
| 1558864421 | Wells Ness | Clinic/Center | 1430 W Baddour Pkwy Ste A1, Lebanon, TN 37087-2656 | 2018-03-16 |
| 1093126385 | Premise Health of Oregon Medical P C | Clinic/Center | 1001 Reeves Pkwy, Lebanon, OR 97355-7001 | 2014-05-08 |
| 1316273451 | Mcfarlin & Stumb Healthcare Professionals LLC | Clinic/Center | 317 Valleyview Cir, Lebanon, TN 37087-8942 | 2009-10-24 |
| 1750890174 | Midtenn Primary Care, LLC | Clinic/Center | 701 Park Ave, Lebanon, TN 37087-3724 | 2017-09-28 |
| 1760615736 | L. A. Bealer Inc | Clinic/Center | 732 S Madison Ave, Lebanon, MO 65536-3591 | 2009-08-25 |
| 1003080169 | Annandale Family Practice, LLC | Clinic/Center | 56 Payne Rd, Suite 21, Lebanon, NJ 08833-3262 | 2008-04-18 |
| 1104948082 | Musaddiq Nazeeri, Md, PC | Clinic/Center | 1023 Poplar St, Lebanon, PA 17042-6636 | 2007-04-04 |
| 1003955337 | Family Health Care Associates of Swva.,pc | Clinic/Center | 143 W Main St, Lebanon, VA 24266-4430 | 2007-02-05 |
| 1104964576 | Cumberland Pediatric Associates | Clinic/Center | 1029 W Main St, Suite M, Lebanon, TN 37087-3351 | 2007-02-01 |
| Find all providers in LEBANON | ||||
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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.