STATE OF TENNESSEE (NPI# 1669527230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669527230 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE |
| Other Organization Name | MONROE COUNTY HEALTH DEPARTMENT |
| Practice Address |
3469 New Highway 68 Madisonville TN 37354 |
| Mailing Address |
Po Box 59019 Knoxville TN 37950-9019 |
| Practice Telephone | 4234423993 |
| Practice Fax Number | 4234429468 |
| Mailing Telephone | 8655495266 |
| Mailing Fax Number | 8655948919 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2009-11-16 |
| Authorized Official Name | MARIANNE F SHARP (REGIONAL ACCOUNTANT) |
| Authorized Official Telephone | 8655495266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUECROSS BLUESHIELD TN | 152400 | 01 |
| TN | 4447828 | 05 |
| Other Name | Type Code |
|---|---|
| Monroe 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 |
3469 NEW HIGHWAY 68 |
| City | MADISONVILLE |
| State | TN |
| Zip Code | 37354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821630575 | Olivia Ellison | Nutritionist | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2019-10-15 |
| 1457842890 | Olivia Ann Reagan | Nutritionist | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2018-05-22 |
| 1073004420 | Jaimie Georg | Nutritionist | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2018-05-22 |
| 1255838769 | Christal Dawn Hadorn | Nurse Practitioner | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2018-04-11 |
| 1497291264 | Lorinda Ayers | Nurse's Aide | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2017-01-17 |
| 1760928527 | Tina Mauricio | Nurse's Aide | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2017-01-17 |
| 1932341740 | Marygail Byers | Registered Nurse | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2009-03-26 |
| 1023268828 | Monroe County Dental Clinic | Dentist | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2008-09-29 |
| 1841440963 | Margaret A Ramsey | Dentist | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2008-09-25 |
| 1083864201 | Mary Elizabeth Johnson Fancher | Dentist | 3469 New Highway 68, Madisonville, TN 37354-5148 | 2008-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487043568 | Tracy Andel | Registered Nurse | 3469 North Highway 68, Madisonville, TN 37354 | 2015-01-13 |
| 1053454876 | Tennie Clarice Lewis | Registered Nurse | 3439 New Hwy 68, Madisonville, TN 37354 | 2007-02-14 |
| 1306801907 | East Tennessee Health Care Inc | Skilled Nursing Facility | 465 Isbill Rd, Madisonville, TN 37354 | 2006-04-18 |
| 1386609956 | Tamela K King | Social Worker | 520 Cook Street, Madisonville, TN 37354 | 2006-04-18 |
| 1710958129 | Gary Lee Fields | Chiropractor | 4900 New Hwy 68, Madisonville, TN 37354 | 2006-02-01 |
| 1720086929 | Mitzi Suzanne Mcbride | Social Worker | 119 Pedigo Road, Suite F, Madisonville, TN 37354 | 2005-07-12 |
| 1437601036 | Starla Swaney | Nurse Practitioner | 167 Warren St, Madisonville, TN 37354 | 2016-10-30 |
| 1144610304 | Laura Jo Vacheresse | Social Worker | 4798 New Highway 68, Madisonville, TN 37354 | 2015-01-27 |
| 1205122587 | Linda W Boyatt | Nurse Practitioner | 4233 Highway 411, Madisonville, TN 37354 | 2011-06-24 |
| 1548427586 | Chota Community Health Services | Clinic/Center | 4798 New Highway 68, Madisonville, TN 37354 | 2008-05-19 |
| Find all providers in zip 37354 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225375538 | Blondy Shupp | Clinic/Center | 1310 Elyse Dr, Christiana, TN 37037-1403 | 2013-01-07 |
| 1275804908 | Metro Public Health Department | Clinic/Center | 311 23rd Avenue North, Nashville, TN 37203-1511 | 2012-01-26 |
| 1598894354 | Bedford County Health Department | Clinic/Center | 1606 Collins Hollow Rd, Lewisburg, TN 37091-4058 | 2007-03-05 |
| 1306991286 | State of Tennessee | Clinic/Center | 301 Mcghee St, Maryville, TN 37801-6811 | 2007-01-24 |
| 1033264916 | State of Tennessee | Clinic/Center | 719 Middle Creek Rd, Sevierville, TN 37862-5016 | 2007-01-24 |
| 1598285991 | Darnell Reginald Brooks | Clinic/Center | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2017-06-27 |
| 1356712673 | Montgomery County Health Department | Clinic/Center | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2015-10-13 |
| 1164803623 | Dandelion Diversified Care | Clinic/Center | 8295 Tournament Dr, Memphis, TN 38125-8906 | 2015-06-10 |
| 1124414396 | Metropolitan Government of Nashville and Davidson City Emps | Clinic/Center | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2015-04-14 |
| 1821337387 | Gibson Co. Health Dept. | Clinic/Center | 1250 S Manufacturers Row, Trenton, TN 38382-3632 | 2013-02-04 |
| Find all providers with the same taxonomy | ||||
| City | MADISONVILLE |
| Zip Code | 37354 |
Please comment or provide details below to improve the information on STATE OF TENNESSEE.
| 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.