MIA SCULLARK (NPI# 1598204729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598204729 |
| Entity Type | Individual |
| Full Name | MIA SCULLARK |
| Practice Address |
8809 Forest Breeze Dr Cordova TN 38018-7692 |
| Practice Telephone | 9016916274 |
| Mailing Telephone | 9016916274 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | TN | Nursing Service Related Providers |
| Street Address |
8809 FOREST BREEZE DR |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-7692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543251 | Kenyatta Pugh | Home Health Aide | 1176 Vickery Ln Ste 200, Cordova, TN 38016-0631 | 2020-09-16 |
| 1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
| 1205376613 | Lashunda Partee | Home Health Aide | 10052 Lynham Cv, Cordova, TN 38016-5787 | 2017-03-03 |
| 1871973131 | Rhonda Elaine Blanks | Home Health Aide | 9114 Karen Mill Cv, Cordova, TN 38016-8533 | 2015-06-02 |
| 1174988125 | James Whitaker | Home Health Aide | 1904 Talisker Dr, Cordova, TN 38016-0155 | 2015-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999569 | Donumenite Chambers | Home Health Aide | 3222 Whispering Ln Apt 156, Memphis, TN 38115-3762 | 2020-10-14 |
| 1063025104 | Jerrold Anthony Williams | Home Health Aide | 109 Trevecca Ln, Oak Ridge, TN 37830-6616 | 2020-08-28 |
| 1013529924 | Clare Parker | Home Health Aide | 1238 Taft Hwy Ste 154, Signal Mountain, TN 37377-3295 | 2020-08-21 |
| 1033727284 | Tina Poindexter | Home Health Aide | 3728 Crosswood Cv, Memphis, TN 38127-4823 | 2020-07-14 |
| 1073130043 | Ashley Danielle Musselwhite | Home Health Aide | 720 Salem Church Rd, Waynesboro, TN 38485-4745 | 2020-06-25 |
| 1972125169 | Joyce Hobson | Home Health Aide | 4502 Tracy Lynn Dr, Memphis, TN 38125-6503 | 2020-05-11 |
| 1740801422 | Lakeisha Monique Lewis | Home Health Aide | 8211 Holston Dr, Memphis, TN 38125-3982 | 2020-05-04 |
| 1902425366 | Marissa Michelle Sharp | Home Health Aide | 6224 Western Avenue, Knoxville, TN 37921 | 2020-04-15 |
| 1457988792 | Joy Shelton | Home Health Aide | 2552 Poplar Ave Ste 101, Memphis, TN 38112-3834 | 2020-03-25 |
| 1275167124 | Genesis Massey | Home Health Aide | 3417 Lebanon Pike Apt G106, Hermitage, TN 37076-2023 | 2020-03-01 |
| 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.