MARCUS D LARGE (NPI# 1497136808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497136808 |
| Entity Type | Individual |
| Full Name | MARCUS D LARGE |
| Practice Address |
1432 W Main St Suite 700 Lebanon TN 37087-1323 |
| Practice Telephone | 6154441880 |
| Practice Fax Number | 6154447411 |
| Mailing Telephone | 6154441880 |
| Mailing Fax Number | 6154447411 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1432 W MAIN ST SUITE 700 |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184785826 | Jane Shelby Pierce | Nurse Practitioner | 1432 W Main St, Suite 700, Lebanon, TN 37087-1323 | 2006-12-13 |
| 1619412913 | Sophie Marie Krefft Stein | Registered Nurse | 1432 W Main St, Suite 700, Lebanon, TN 37087-1323 | 2016-12-22 |
| 1083071203 | Laura F Boggan | Counselor | 1432 W Main St, Suite 700, Lebanon, TN 37087-1323 | 2016-01-19 |
| 1023433455 | Sarah Miles Foy | Counselor | 1432 W Main St, Suite 700, Lebanon, TN 37087-1323 | 2014-02-21 |
| 1831492115 | Holly Anne Liter | Nurse Practitioner | 1432 W Main St, Suite 402, Lebanon, TN 37087-1323 | 2010-12-08 |
| 1164607495 | Lee Ann Barnett | Nurse Practitioner | 1432 W Main St, Lebanon, TN 37087-1323 | 2008-01-05 |
| 1407042005 | Richard E. Fishbein, Md | Orthopaedic Surgery | 1432 W Main St, Suite 300, Lebanon, TN 37087-1323 | 2007-09-18 |
| 1760673727 | Holly J West | Counselor | 1432 W Main St, Suite 402, Lebanon, TN 37087-1323 | 2007-08-06 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103497 | Josalyn Lawrence | Counselor | 550 S Main St Ste 105, Lebanon, OR 97355-3335 | 2020-10-26 |
| 1780204966 | Amanda Lynn Nowlin | Counselor | 4065 Hunters Point Pike, Lebanon, TN 37087-1192 | 2020-04-17 |
| 1255971065 | Mari Carter | Counselor | 217 E High St, Lebanon, TN 37087-6702 | 2020-01-09 |
| 1275182081 | Jane F Ilgenfritz | Counselor | 746 Cumberland St, Lebanon, PA 17042-5236 | 2019-09-05 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1861876104 | Claudia Jett | Counselor | 511 Coles Ferry Pike, Lebanon, TN 37087-2209 | 2015-07-16 |
| 1912305160 | Brian Bowden | Counselor | 5 Blacksmith St, Lebanon, NH 03766-1507 | 2014-12-19 |
| 1932511912 | Lauren F Ordner | Counselor | 1220 State Route 31 N, Suite 17, Lebanon, NJ 08833-3237 | 2014-05-27 |
| 1831439223 | Access Intensive Counseling LLC | Counselor | 705 East Main Street, Lebanon, VA 24266 | 2013-02-21 |
| 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.