KRISTEL DAWNE HEADLEY (NPI# 1639319940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639319940 |
| Entity Type | Individual |
| Full Name | KRISTEL DAWNE HEADLEY |
| Credential | L.P.C. |
| Practice Address |
2300 Pavilion Dr Kingsport TN 37660-4622 |
| Mailing Address |
1021 W Oakland Ave Suite 207 Johnson City TN 37604-2191 |
| Practice Telephone | 4238575571 |
| Practice Fax Number | 4238575237 |
| Mailing Telephone | 4239155100 |
| Mailing Fax Number | 4239523109 |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2339 | TN | Behavioral Health & Social Service Providers |
| Street Address |
2300 PAVILION DR |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956400 | Timothy James Sullivan Jr. | Psychiatry & Neurology | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2005-07-20 |
| 1902438849 | Tonya Jean Keen | Occupational Therapy Assistant | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2020-02-09 |
| 1669034682 | Victoria Gillenwater | Physical Therapy Assistant | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2019-06-29 |
| 1649833880 | Brandon Drew Seale | Physical Therapist | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2019-04-14 |
| 1770067415 | April Kuntz | Speech-Language Pathologist | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2018-09-19 |
| 1346739174 | Carson Leigh Ann Johnson | Occupational Therapist | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2018-05-07 |
| 1639670987 | Matthew David Donaldson | Occupational Therapy Assistant | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2018-02-22 |
| 1437661089 | Brooke Ashley Parton | Physical Therapy Assistant | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2017-11-03 |
| 1104350685 | Virginia Conkin | Physical Therapy Assistant | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2017-04-12 |
| 1427590322 | Kelsey Stout | Occupational Therapy Assistant | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2016-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548546419 | Vickie R Harris | Counselor | 317 Pitt Road, Kingsport, TN 37663 | 2011-10-24 |
| 1194818112 | James Ross Walker IIi | Counselor | 2991 Fort Henry Dr, Kingsport, TN 37664-4005 | 2006-10-02 |
| 1104848092 | Kristy L Beach-callebs | Counselor | 2758 E Center St, Kingsport, TN 37664-2754 | 2006-07-23 |
| 1386257103 | Elizabeth L. Mcfarland | Counselor | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2020-08-31 |
| 1104468180 | Kelly J Medlin | Counselor | 2001 E Stonebrook Pl, Kingsport, TN 37660-4000 | 2019-10-11 |
| 1497217616 | Kerri Elyse Paulsen | Counselor | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2019-04-05 |
| 1043703739 | Christa Jo Powell | Counselor | 441 Clay St, Kingsport, TN 37660-3693 | 2018-06-07 |
| 1710416888 | Jana Dobesova | Counselor | 2971 Fort Henry Dr, Kingsport, TN 37664-4005 | 2017-06-12 |
| 1528393550 | Andrew David Kitzmiller | Counselor | 2991 Fort Henry Dr, Kingsport, TN 37664-4005 | 2009-10-08 |
| 1245419258 | Peggy Lee Rall-harsha | Counselor | 110 E Main St, Kingsport, TN 37660-4212 | 2007-10-25 |
| Find all providers in KINGSPORT | ||||
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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.