SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT (NPI# 1548708936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548708936 |
| Entity Type | Organization |
| Organization Name | SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT |
| Practice Address |
1041 E Sullivan St Kingsport TN 37660-5242 |
| Practice Telephone | 4232792777 |
| Practice Fax Number | 4232241640 |
| Mailing Telephone | 4232792777 |
| Mailing Fax Number | 4232241640 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | CHELSEA FAUCHER (REGISTERED NURSE- PUBLIC HEALTH) |
| Authorized Official Telephone | 4232792777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
206764 | TN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | UPIN | B58933 | 01 |
| MEDICARE | 3911774 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134494297 | Sullivan County Regional Health Department | Registered Nurse | 154 Blountville Byp, Blountville, TN 37617-4575 | 2012-03-21 |
| 1861696163 | Sullivan County Regional Health Department | Case Manager/Care Coordinator | 154 Blountville Bypass, Blountville, TN 37617 | 2007-06-12 |
| Street Address |
1041 E SULLIVAN ST |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-5242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902941586 | Kolleen Kay Kolassa | Registered Nurse | 1041 E Sullivan St, Kingsport, TN 37660 | 2007-02-21 |
| 1568075216 | Christa M Gibson | Registered Nurse | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2020-08-24 |
| 1407484702 | Ashley Mckamey | Registered Nurse | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2020-03-31 |
| 1457868242 | Dana Mitchell | Licensed Practical Nurse | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2018-01-03 |
| 1043722598 | Angela Renee Mclain | Registered Nurse | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2017-10-24 |
| 1144751694 | April Little | Registered Nurse | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2017-03-27 |
| 1245613488 | Heather Trent | Registered Nurse | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2015-07-07 |
| 1881077956 | Shaina Kaye Brown | Registered Nurse | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2015-07-07 |
| 1194118364 | Robin Leigh Freyling | Registered Nurse | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2015-03-12 |
| 1912303082 | Misty White | Nurse's Aide | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2014-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104132307 | Kelli France | Registered Nurse | 1029 E Sullivan St, Kingsport, TN 37660-5242 | 2010-08-25 |
| 1245613488 | Heather Trent | Registered Nurse | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2015-07-07 |
| 1881077956 | Shaina Kaye Brown | Registered Nurse | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2015-07-07 |
| 1124451281 | Carly Hutchins | Registered Nurse | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2013-08-13 |
| 1184060253 | Ashton Martin | Registered Nurse | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2013-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023166 | Stephanie Blythe Korn | Registered Nurse | 9229 Fox Run Dr, Brentwood, TN 37027-7443 | 2020-08-12 |
| 1417565169 | Belinda Mcnair | Registered Nurse | 4865 Sagewood Dr, Memphis, TN 38116-7953 | 2020-07-20 |
| 1457903098 | Latonya Ivy | Registered Nurse | 50 N Dunlap St Fl 4, Memphis, TN 38103-2800 | 2019-07-14 |
| 1093280968 | Mary Elizabeth Best | Registered Nurse | 2734 Best Rd, Maryville, TN 37803-2633 | 2018-10-08 |
| 1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
| 1639668775 | Lisa Ann Brown | Registered Nurse | 168 Ekvall Ln, Dunlap, TN 37327-7731 | 2018-05-03 |
| 1710494117 | Lydia Ellen Hicks | Registered Nurse | 214 W. Longview Drive, Portland, TN 37148 | 2018-01-08 |
| 1588195549 | Rosza Branson | Registered Nurse | 1202 Laurel Bluff Rd, Kingston, TN 37763-6022 | 2017-03-22 |
| 1366984841 | Krystal Lynn Pulley | Registered Nurse | 330 Pageant Lane, Clarksville, TN 37040 | 2016-11-15 |
| 1245780451 | Chasity Jett | Registered Nurse | 1242 Knowling Loop, Talbott, TN 37877-3307 | 2016-10-12 |
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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.