LAUREL ELISE HENEGAR (NPI# 1538147590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538147590 |
| Entity Type | Individual |
| Full Name | LAUREL ELISE HENEGAR |
| Other Name | LAUREL ELISE HENEGAR-HAGAMAN |
| Credential | LPE |
| Practice Address |
6350 W Andrew Johnson Highway Talbott TN 37877 |
| Mailing Address |
6350 W A J Hwy Department 100 Talbott TN 37877-8605 |
| Practice Telephone | 4235877337 |
| Practice Fax Number | 4237142355 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2013-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
PE1467 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 5441416 | 05 |
| Street Address |
6350 W ANDREW JOHNSON HIGHWAY |
| City | TALBOTT |
| State | TN |
| Zip Code | 37877 |
| 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 |
| 1477045854 | Ashley Mayhew Breazeale | Student in an Organized Health Care Education/Training Program | 6350 W Andrew Johnson Hwy, Talbott, TN 37877 | 2018-06-01 |
| 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 | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992002745 | Angie Lee Allman | Psychologist | 6350 W A J Hwy, Talbott, TN 37877 | 2011-02-14 |
| 1245481357 | Bobbie Burton Ramsey | Psychologist | 6350 W A J Hwy, Talbott, TN 37877 | 2008-10-07 |
| 1598884314 | Haley Crisp Turner | Psychologist | 6350 West Andrew Johnson Highway, Talbott, TN 37877 | 2007-03-29 |
| 1215914502 | Amanda M Monville | Psychologist | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2005-12-28 |
| 1326047408 | William Bruce Allen | Psychologist | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2005-07-20 |
| 1316946585 | Kristin Kai Mahoney | Psychologist | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938076 | Ashley Young | Psychologist | 128 Farmbrook Ct, Murfreesboro, TN 37128-2995 | 2020-06-26 |
| 1366061467 | Polly Palmer | Psychologist | 925 Granada Ave, Nashville, TN 37206-3425 | 2020-04-09 |
| 1093362733 | Janita Rhodes | Psychologist | 35 Williamson Rd, Denmark, TN 38391-1828 | 2019-08-19 |
| 1922504901 | Vincent Scott Hooper | Psychologist | 6112 Mont Richer Ave, Knoxville, TN 37918-9314 | 2018-03-30 |
| 1649792813 | Debbie Deberry | Psychologist | 133 Mecklinburg Dr, Bolivar, TN 38008-1747 | 2017-07-10 |
| 1538691605 | Rosemarie Morelan | Psychologist | 128 County Road 801, Etowah, TN 37331-5211 | 2017-03-29 |
| 1649718560 | Tera Bradley | Psychologist | 108 Stirton Rd, Nashville, TN 37210-5120 | 2017-02-11 |
| 1912445834 | Katherine Wilds Price | Psychologist | 643 Blackstone Ave, Madison, TN 37115-4103 | 2017-02-11 |
| 1821461856 | Susan D. Sasse | Psychologist | 614 Georgia Ave, Signal Mountain, TN 37377-1814 | 2015-11-13 |
| 1114358108 | Michelle Fast | Psychologist | 205 Oak Grove Rd, Madisonville, TN 37354-5930 | 2013-12-02 |
| Find all providers with the same taxonomy | ||||
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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.