KIRSTYN HOUSEMAN (NPI# 1508485517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508485517 |
| Entity Type | Individual |
| Full Name | KIRSTYN HOUSEMAN |
| Practice Address |
103 Foothills Mall Dr Maryville TN 37801-5513 |
| Mailing Address |
113 Kathryn Ct Maryville TN 37804-2419 |
| Practice Telephone | 8659823803 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 43630 | TN | Pharmacy Service Providers |
| Street Address |
103 FOOTHILLS MALL DR |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801-5513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417050121 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 103 Foothills Mall Dr, Maryville, TN 37801-5513 | 2006-09-07 |
| 1376025056 | Miranda Leanne Allen | Nurse Practitioner | 103 Foothills Mall Dr, Maryville, TN 37801-5513 | 2018-08-30 |
| 1689195927 | Ariel P Stakely | Nurse Practitioner | 103 Foothills Mall Dr, Maryville, TN 37801-5513 | 2017-06-27 |
| 1437519873 | Joshua Ray Hilton | Nurse Practitioner | 103 Foothills Mall Dr, Maryville, TN 37801-5513 | 2016-02-27 |
| 1962842278 | Stephanie Michelle Green | Nurse Practitioner | 103 Foothills Mall Dr, Maryville, TN 37801-5513 | 2013-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
| 1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
| 1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
| 1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
| 1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
| Find all providers in zip 37801 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1851764922 | Brian T Henderson | Pharmacist | 507 N. Foothills Plaza, Maryville, TN 37801-2312 | 2015-11-11 |
| 1457738023 | Daniel Abercrombie | Pharmacist | 715 Enterprise Way, Maryville, TN 37801-8530 | 2015-05-02 |
| 1548606312 | Emily Abbott | Pharmacist | 104 Hudson St, Maryville, TN 37801-4608 | 2013-05-20 |
| 1912235672 | Amy Maria Hutchens | Pharmacist | 730 Watkins Rd, Maryville, TN 37801-4643 | 2009-11-18 |
| 1790919892 | Mark A. Major | Pharmacist | 945 Mccammon Ave, Maryville, TN 37801-3958 | 2009-05-05 |
| 1346437829 | Michael Edwin Davis | Pharmacist | 624 Hawthorne Dr, Maryville, TN 37803-6316 | 2007-09-28 |
| 1225236284 | Michael Blackburn | Pharmacist | 30 Foxmoor Dr, Maryville, IL 62062-6731 | 2007-07-10 |
| 1861519688 | Robert Aaron Lucas | Pharmacist | 1607 Loch Leigh Way, Maryville, TN 37801-5803 | 2007-03-25 |
| 1891810511 | Paul Edgar Heird | Pharmacist | 1610 W Broadway Ave, Maryville, TN 37801-5652 | 2007-03-20 |
| Find all providers in MARYVILLE | ||||
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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.