MS. DIANA J DEPUGH (NPI# 1619954609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619954609 |
| Entity Type | Individual |
| Full Name | MS. DIANA J DEPUGH |
| Credential | MSW |
| Practice Address |
4928 Homberg Dr Suie 4-a Knoxville TN 37919-5100 |
| Mailing Address |
3110 Pleasant Trace Cir Knoxville TN 37912-6207 |
| Practice Telephone | 8657484476 |
| Mailing Telephone | 8657484476 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LDC00000086 | TN | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
LSW0000003551 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | CIGNA | 1100250 | 01 |
| Street Address |
4928 HOMBERG DR SUIE 4-A |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073807244 | Kimberly Lynn Barrett | Counselor | 4928 Homberg Dr, Suite A-4, Knoxville, TN 37919-5100 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154968535 | Shannon Deann Stewart | Counselor | 813 N Lincoln St Ste 9, Knoxville, IA 50138-1421 | 2019-12-05 |
| 1376054924 | James Michael Graczyk | Counselor | 1910 Callahan Dr, Knoxville, TN 37912-1103 | 2017-10-21 |
| 1518482504 | Reico Hopewell | Counselor | 308 Knox Rd, Knoxville, TN 37918-2316 | 2017-08-10 |
| 1528594645 | Emory Boykins Young II | Counselor | 3535 Ne Kenilworth Ln, Knoxville, TN 37914 | 2017-05-10 |
| 1710312053 | Megan Marie Pfeifer | Counselor | 626 Bernard Avenue, Knoxville, TN 37921 | 2013-09-05 |
| 1861790859 | Kristen Ruth Robinson | Counselor | 3500 Glengarry Ct, Knoxville, TN 37921-1050 | 2011-03-01 |
| 1740518042 | Laura Ann Howard | Counselor | 6626 Central Avenue Pike, Knoxville, TN 37912-1400 | 2009-11-24 |
| 1366601775 | Drd Management, Inc | Counselor | 412 Citico, Knoxville, TN 37921 | 2008-06-02 |
| 1255547832 | Margaret Elaine Ragner | Counselor | 104 South 6th, Knoxville, IA 50138 | 2007-05-14 |
| 1972113173 | Clay Martin Mings | Counselor | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-08-03 |
| Find all providers in KNOXVILLE | ||||
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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.