STATE OF TENNESSEE (NPI# 1609921436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609921436 |
Entity Type | Organization |
Organization Name | STATE OF TENNESSEE |
Other Organization Name | UNICOI COUNTY HEALTH DEPARTMENT |
Practice Address |
101 Okolona Dr Erwin TN 37650-1387 |
Practice Telephone | 4237439103 |
Enumeration Date | 2007-01-24 |
Last Update Date | 2008-07-30 |
NPI Deactivation Date | 06/04/2008 |
NPI Reactivation Date | 2008-07-30 |
Authorized Official Name | MS. KIMBERLI LENISE FITZPATRICK (ACCOUNTANT) |
Authorized Official Telephone | 4239794609 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Unicoi County Health Department | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417337056 | State of Tennessee | Physical Therapist | 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 | 2015-06-08 |
1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
1871997163 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 803 Redbud Dr, Greeneville, TN 37743-6141 | 2014-10-15 |
1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
1114330545 | State of Tennessee | Occupational Therapist | 301 Stewarts Ferry Pike, Didd Middle Tn Seating and Positioning Clinic, Nashville, TN 37214-3340 | 2014-06-03 |
1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
Street Address |
101 OKOLONA DR |
City | ERWIN |
State | TN |
Zip Code | 37650-1387 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861556110 | Chrystal Lynn Hensley | Registered Nurse | 101 Okolona Dr, Erwin, TN 37650-1387 | 2006-12-21 |
1174007355 | Kaylee Breanne Nicholson | Registered Nurse | 101 Okolona Dr, Erwin, TN 37650-1387 | 2018-09-24 |
1235573213 | Tara Yvonne Higgins | Registered Nurse | 101 Okolona Dr, Erwin, TN 37650-1387 | 2013-04-22 |
1245503366 | Sarah Buchanan | Registered Nurse | 101 Okolona Dr, Erwin, TN 37650-1387 | 2012-02-21 |
1841578481 | Ashley Danielle Powell | Nurse's Aide | 101 Okolona Dr, Erwin, TN 37650-1387 | 2011-08-01 |
1770704983 | Trula Jean Sneyd | Nurse's Aide | 101 Okolona Dr, Erwin, TN 37650-1387 | 2007-05-02 |
1750427175 | State of Tennessee | Public Health or Welfare | 101 Okolona Dr, Erwin, TN 37650-1387 | 2007-01-30 |
1306996137 | Heidi Heather Casey | Registered Nurse | 101 Okolona Dr, Erwin, TN 37650-1387 | 2007-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730725706 | Edwards Premier Healthcare LLC | Family Medicine | 1201 North Main Avenue, Erwin, TN 37650 | 2019-11-25 |
1235792953 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 110 N. Industrial Drive, Erwin, TN 37650 | 2019-04-18 |
1114111622 | Tara Beth Coumoundouros | Pharmacist | 1252 N Main St, Erwin, TN 37650 | 2007-08-29 |
1679695779 | David Joe Walters | Chiropractor | 226 Love Street, Erwin, TN 37650 | 2007-04-06 |
1437218385 | Deandria Marie Bogart | Registered Nurse | 101okolona Drive, Erwin, TN 37650 | 2006-12-06 |
1881768281 | James Alexander Bowden | Emergency Medicine | 2030 Temple Hill Rd, Erwin, TN 37650 | 2006-11-17 |
1720161409 | Charlotte Freeman Shores | Case Manager/Care Coordinator | 218 N Main Street, Erwin, TN 37650 | 2006-10-24 |
1407940067 | Unicoi County Family Practice | Clinic/Center | 108 Gay Street, Erwin, TN 37650 | 2006-10-03 |
1972607653 | Celeste Carol Taylor | Counselor | 218 N Main, Erwin Mh Center, Erwin, TN 37650 | 2006-09-12 |
1972607679 | Rita Jean Richardson | Counselor | 218 N Main Ave, Erwin, TN 37650 | 2006-09-12 |
Find all providers in zip 37650 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407811987 | Rao Medical Associates | Clinic/Center | 901 Denim Dr, Erwin, NC 28339-2307 | 2006-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669081477 | Mint Edition Wellness Center | Clinic/Center | 1400 N Mount Juliet Rd Ste 104, Mount Juliet, TN 37122-1508 | 2020-07-28 |
1538777024 | Tri-k Health LLC | Clinic/Center | 525 Cherokee Blvd Ste 5, Chattanooga, TN 37405-3865 | 2020-07-21 |
1457976714 | Blue Light Therapies LLC | Clinic/Center | 421 E Royal Ln Suite 100, Irving, TN 75039 | 2020-06-12 |
1174147870 | Freedom Medical Services Pllc | Clinic/Center | 1203 Laurel Springs Way, Signal Mountain, TN 37377-1445 | 2020-05-29 |
1023630019 | Daya Medicals, Inc. | Clinic/Center | 460 S Highland St, Memphis, TN 38111-4302 | 2020-05-12 |
1518421148 | Paramount Solutions Clinic & Laboratory Testing | Clinic/Center | 2010 Church St Ste 624, Nashville, TN 37203-2075 | 2019-01-28 |
1982180113 | Abundant Healthcare Clinic LLC | Clinic/Center | 130 Serral Dr, Greeneville, TN 37745-3074 | 2018-07-11 |
1649776691 | Serious Health Services | Clinic/Center | 715 Cherry St Ste 207, Chattanooga, TN 37402-1929 | 2018-03-30 |
1124523287 | Hands of Health and Rehab | Clinic/Center | 80 N. Tillman St. Ste. 104, Memphis, TN 38111 | 2018-03-29 |
1205377348 | Southeastern Swallowing Diagnostics | Clinic/Center | 8459 Lexie Ln, Ooltewah, TN 37363-5796 | 2017-03-08 |
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.