THE UNIVERSITY OF TENNESSEE AT CHATTANOOGA (NPI# 1619323599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619323599 |
| Entity Type | Organization |
| Organization Name | THE UNIVERSITY OF TENNESSEE AT CHATTANOOGA |
| Other Organization Name | UTC STUDENT HEALTH SERVICES |
| Practice Address |
615 Mccallie Ave Dept. 6856 Chattanooga TN 37403-2504 |
| Mailing Address |
615 Mccallie Ave Department 6856 Chattanooga TN 37403-2504 |
| Practice Telephone | 4234252266 |
| Practice Fax Number | 4234252305 |
| Mailing Telephone | 4234254111 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |
| Authorized Official Name | BLAKE ALAN REAGAN (DIRECTOR OF PROCURMENT SERVICES) |
| Authorized Official Telephone | 8659743311 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | THE UNIVERSITY OF TENNESSEE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 523RPWMF1 | TN | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | UNITED HEALTHCARE STUDENT RESOURCE PLAN (UHCSR) | 2016-303-1 | 01 |
| Other Name | Type Code |
|---|---|
| UTC Student Health Services | Doing Business As Name - Organization |
| Street Address |
615 MCCALLIE AVE DEPT. 6856 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639106362 | Gary Blaine Wilkerson | Specialist/Technologist | 615 Mccallie Ave, Department 6606, Chattanooga, TN 37403-2504 | 2006-06-27 |
| 1619587581 | Miller Anne Earhart | Nurse Practitioner | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2020-08-05 |
| 1851918528 | Sydne Stepaniuk | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2020-06-29 |
| 1619594314 | David May | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2020-06-29 |
| 1033771613 | Elisabeth Kelley | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-03 |
| 1700448339 | David Benjamin Eldridge | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-03 |
| 1568024149 | Deborah Kostrub | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-03 |
| 1629630124 | Mark T Carden | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-03 |
| 1396307989 | Bry Alexi-ife Edwards | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-03 |
| 1366004038 | Jeremy Page | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851920037 | Samit Sunny Roy | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste C-535, Chattanooga, TN 37403-2136 | 2020-04-08 |
| 1285195297 | Robert Chace Hicks | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste B401, Chattanooga, TN 37403-2136 | 2019-03-31 |
| 1427555309 | Michael S Tonzi | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste C535, Chattanooga, TN 37403-3333 | 2018-04-09 |
| 1265939268 | Marc Douglas Erickson | Student in an Organized Health Care Education/Training Program | 975 E 3rd St # 112, Chattanooga, TN 37403-2147 | 2018-04-07 |
| 1124525258 | Daniel T. Miles | Student in an Organized Health Care Education/Training Program | 975 E 3rd St # 260, Chattanooga, TN 37403-2147 | 2018-04-06 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1073046561 | Cynthia Groves | Student in an Organized Health Care Education/Training Program | 706 Tiger Lily Trl, Chattanooga, TN 37415 | 2017-04-11 |
| 1619400751 | Elisabeth Cydnie Bedford Brenner | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste C720, Chattanooga, TN 37403-3329 | 2017-04-05 |
| 1447782818 | Alyssa Denise Brown | Student in an Organized Health Care Education/Training Program | 9123 Berkshire Cir, Chattanooga, TN 37421-4444 | 2017-04-03 |
| 1194179523 | Franklin Brent Davis Jr. | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 202, Chattanooga, TN 37403-2104 | 2016-04-21 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
Please comment or provide details below to improve the information on THE UNIVERSITY OF TENNESSEE AT CHATTANOOGA.
| 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.