PEDRO ELIUD RODRIGUEZ LARA (NPI# 1497380828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497380828 |
| Entity Type | Individual |
| Full Name | PEDRO ELIUD RODRIGUEZ LARA |
| Practice Address |
6350 W Andrew Johnson Hwy Talbott TN 37877-8605 |
| Mailing Address |
1923 Sulphur Springs Rd Morristown TN 37813-5654 |
| Practice Telephone | 4235877337 |
| Practice Fax Number | 4235860614 |
| Mailing Telephone | 4233179344 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
6350 W ANDREW JOHNSON HWY |
| City | TALBOTT |
| State | TN |
| Zip Code | 37877-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912905118 | Angela Warden | Pediatrics | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2005-07-12 |
| 1003426602 | Emma Therese Healy | Student in an Organized Health Care Education/Training Program | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2020-08-07 |
| 1184233959 | Kyla Paige Rowe | Nurse's Aide | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2020-07-28 |
| 1548883812 | Cherokee Health Systems | Clinic/Center | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2020-05-21 |
| 1770114514 | Wendi Nicole Mcanally | Registered Nurse | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2020-01-30 |
| 1326684952 | Larry Brad Smith | Case Manager/Care Coordinator | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2019-11-19 |
| 1164072559 | Kristin Marie Meyer | Nurse Practitioner | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2019-09-17 |
| 1609421569 | Judy Ann Carpenter | Licensed Practical Nurse | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2019-08-07 |
| 1104484898 | Morgan Lee Uhl | Specialist | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2019-05-29 |
| 1538723739 | Alice Turk | Registered Nurse | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2019-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467846253 | Phillips Healthcare Group, PC | Pediatrics | 6890 W.a.j. Hwy., Talbott, TN 37877 | 2015-03-19 |
| 1720499155 | Shallon Andrea Church | Massage Therapist | 1171 East Highway 11-e, Suite 102, Talbott, TN 37877 | 2014-05-20 |
| 1043495112 | Amber Dawn Randolph | Registered Nurse | 7460 Lebanon Church Road, Talbott, TN 37877 | 2008-01-08 |
| 1073608444 | Carolyn Drake | Speech-Language Pathologist | 6057 West Andrew Johnson Highway, Suite 4, Talbott, TN 37877 | 2006-10-03 |
| 1972610475 | Stephen L Clarke | Chiropractor | 6156 West Andrew Johnson Hwy, Talbott, TN 37877 | 2006-08-23 |
| 1790701639 | Ashley Ann Wade | Social Worker | 6350 West Andrew Johnson Highway, Talbott, TN 37877 | 2006-07-14 |
| 1508802638 | Gary Steven Harbin | Registered Nurse | 7460 Lebanon Church Rd, Talbott, TN 37877 | 2006-06-20 |
| 1538147590 | Laurel Elise Henegar | Psychologist | 6350 W Andrew Johnson Highway, Talbott, TN 37877 | 2006-01-09 |
| 1992002745 | Angie Lee Allman | Psychologist | 6350 W A J Hwy, Talbott, TN 37877 | 2011-02-14 |
| 1588965404 | Daniel Fox Mccleary | Student in an Organized Health Care Education/Training Program | 6350 W A J Hwy, Talbott, TN 37877 | 2010-11-09 |
| Find all providers in zip 37877 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538673488 | Kimberly Susan Greene | Dental Assistant | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2017-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316271638 | Casey Terry | Dental Assistant | 162 Sharp and Perkins Rd, Jacksboro, TN 37757-2507 | 2009-09-21 |
| 1689759516 | Teresa Marie Clark | Dental Assistant | 7218 Birch Bark Drive, Fairview, TN 37062 | 2006-10-26 |
| 1285732842 | Sherry D White | Dental Assistant | 165 College St, Savannah, TN 38372-2078 | 2006-09-20 |
| 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 |
| 1699335190 | Chelsey Germaine Keyes | Dental Assistant | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2019-06-17 |
| 1780155960 | Glenda Gill | Dental Assistant | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2018-12-16 |
| 1225488752 | Fonda French | Dental Assistant | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, TN 42223 | 2016-06-15 |
| 1659794154 | Nancy Elizabeth Benitez | Dental Assistant | 2026 Clifton Ave, Nashville, TN 37203-1910 | 2014-02-04 |
| 1841633096 | Candice D Dennis Dalton | Dental Assistant | 2026 Clifton Ave, Nashville, TN 37203-1910 | 2013-04-08 |
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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.