JESSE WILLIAMS (NPI# 1528426152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528426152 |
| Entity Type | Individual |
| Full Name | JESSE WILLIAMS |
| Practice Address |
200 E Broadway Ave Ste 314b Maryville TN 37804-5709 |
| Practice Telephone | 8655189922 |
| Mailing Telephone | 8655189922 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760831689 | Jesse Williams | Preventive Medicine | 14553 Milestone St, Moreno Valley, CA 92555-5719 | 2016-06-10 |
| 1649421611 | Jesse Anthony Williams IIi | Licensed Vocational Nurse | 3470 Landrew Rd, Perris, CA 92571-7311 | 2008-10-08 |
| 1760485056 | Jesse S Williams | Internal Medicine | 736 Irving Ave, Syracuse, NY 13210-1687 | 2005-05-31 |
| 1851863195 | Jesse Quinn Williams | Counselor | 25 Canterbury Rd, Rochester, NY 14607-3403 | 2018-12-27 |
| 1447796727 | Jesse Williams | Counselor | 4735 N Thanksgiving Way, Lehi, UT 84043-2936 | 2017-01-11 |
| 1477923241 | Jesse Williams | Nurse Practitioner | 1400 E Union St, Greenville, MS 38703-3246 | 2015-10-05 |
| 1821343708 | Jesse Carl Williams | Optometrist | 1208 Johnson Blvd, Murray, KY 42071-2961 | 2012-07-17 |
| 1902033129 | Jesse Edwards Williams | Speech-Language Pathologist | 1110 Prim Rd, Colchester, VT 05446-6403 | 2009-06-15 |
| 1275565848 | Jesse J. Williams | Physician Assistant | 701 Grove Rd, Greenville, SC 29605-5611 | 2006-07-06 |
| Street Address |
200 E BROADWAY AVE STE 314B |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1033653167 | Kathleen Ann Puckett | Counselor | 1017 Hampshire Dr, Maryville, TN 37801-3525 | 2016-12-08 |
| 1326441528 | Kelsey Perkins | Counselor | 6201 W Main St Ste 120, Maryville, IL 62062-6870 | 2014-10-01 |
| 1255753927 | North Star Counseling and Wellness Center | Counselor | 811 Micah St, Maryville, TN 37804-3084 | 2014-01-14 |
| 1851627327 | Jaynie Bradley Moore | Counselor | 315 Home Ave, Maryville, TN 37801-3970 | 2009-10-19 |
| 1699933630 | Mary Ellen Theodore | Counselor | 321 N Munn Ave, Maryville, MO 64468-2146 | 2008-05-27 |
| 1285832725 | Katherine E Bentley-knowles | Counselor | 347 High St, Maryville, TN 37804-5831 | 2007-07-06 |
| 1194879833 | Alicia Drew | Counselor | 2016 Vadalabene Dr Ste A, Maryville, IL 62062-6901 | 2007-01-22 |
| 1053492637 | Melissa D. Frye | Counselor | 1012 E Lamar Alexander Pkwy, Maryville, TN 37804-5132 | 2006-10-18 |
| 1518073683 | Christina M Kittstein | Counselor | 6209 E Main St, Maryville, IL 62062-2015 | 2006-08-22 |
| 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.