MRS. TERESA KEEFAUVER CARSON


Address: 1233 Southwest Ave. Extension, Johnson City, TN 37604-6519
Phone: 4239793200

MRS. TERESA KEEFAUVER CARSON (NPI# 1588728570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588728570
Entity Type Individual
Full Name MRS. TERESA KEEFAUVER CARSON
Credential R.D.H.
Practice Address 1233 Southwest Ave. Extension
Johnson City
TN 37604-6519
Mailing Address 108 Keeland Dr
Gray
TN 37615-4218
Practice Telephone 4239793200
Practice Fax Number 4239793267
Mailing Telephone 4237535692
Mailing Fax Number 4237530307
Enumeration Date 2006-12-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist DH0000001191 TN Dental Providers

Other Providers TERESA CARSON

NPI Name Taxonomy Address Enumeration
1912379686 Teresa Carson Community Health Worker 13079 Racho School Dr, Taylor, MI 48180-4755 2015-10-21
1720070741 Teresa Catherine Carson Pediatrics 15 Warren St, New York, NY 10007-0029 2005-08-16

Office Location

Street Address 1233 SOUTHWEST AVE. EXTENSION
City JOHNSON CITY
State TN
Zip Code 37604-6519

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417012717 April Yvonne Fletcher Dental Hygienist 1233 Southwest Ave. Extension, Johnson City, TN 37604-6519 2006-12-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
Find all providers in zip 37604

Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497295711 Charles Faust Dental Hygienist 1276 Gilbreath Dr, Johnson City, TN 37614 2017-03-06
1790998276 Frances Ruth Ketron Dental Hygienist 2012 Sherwood Rd, Johnson City, TN 37601 2007-05-08
1386793420 Nicole Renee Foster Dental Hygienist 415 N State of Franklin Rd, Johnson City, TN 37604-6034 2007-01-09
1093879900 Lisa Diane Lowe Dental Hygienist 1233 Southwest Avenue Extension, Johnson City, TN 37604-6519 2006-12-22
1639679566 Cynthia Hollows Dental Hygienist 1303 Carroll Creek Rd, Johnson City, TN 37615-4790 2018-02-16
1144746546 Felicia Diane Chapman Dental Hygienist 400 E Watauga Ave, Johnson City, TN 37601-4079 2017-08-17
1447680582 Amanda Lynn Mcgill Dental Hygienist 2203 Mckinley Rd, Johnson City, TN 37604-6893 2013-11-26
1518399823 Stacey Cross Dental Hygienist 1303 Carroll Creek Rd, Ste 120, Johnson City, TN 37615-4674 2013-08-08
1356514301 Melanie Fritts Bishop Dental Hygienist 1233 Southwest Ave, Johnson City, TN 37604-6596 2008-04-10
1417012717 April Yvonne Fletcher Dental Hygienist 1233 Southwest Ave. Extension, Johnson City, TN 37604-6519 2006-12-27
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37604

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Dataset Information

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.

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