CONSTANCE A ROSENBALM (NPI# 1669856662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669856662 |
| Entity Type | Individual |
| Full Name | CONSTANCE A ROSENBALM |
| Other Name | ANGIE ROSENBALM |
| Credential | FNP |
| Practice Address |
169 Westmoreland St Harrogate TN 37752-8253 |
| Mailing Address |
606 N Broad St New Tazewell TN 37825-6610 |
| Practice Telephone | 4238693700 |
| Practice Fax Number | 4238695555 |
| Mailing Telephone | 4236260466 |
| Mailing Fax Number | 4236260467 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20114 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
169 WESTMORELAND ST |
| City | HARROGATE |
| State | TN |
| Zip Code | 37752-8253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922180991 | Debbie A Poore | Nurse Practitioner | 169 Westmoreland St, Harrogate, TN 37752 | 2006-10-19 |
| 1689188021 | Bobbi R Coley | Physician Assistant | 169 Westmoreland St, Harrogate, TN 37752-8253 | 2017-11-21 |
| 1952690588 | Amanda Suzanne Martin | Nurse Practitioner | 169 Westmoreland St, Harrogate, TN 37752-8202 | 2011-04-05 |
| 1477798809 | Charlton C Vass | Massage Therapist | 169 Westmoreland St, Harrogate, TN 37752-8202 | 2008-12-15 |
| 1689831802 | Harrogate Family & Health Care, Inc. | Psychiatry & Neurology | 169 Westmoreland St, Harrogate, TN 37752-8202 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295281145 | Tracie Herrell | Nurse Practitioner | 159 Piccadilly Ave, Harrogate, TN 37752 | 2016-08-31 |
| 1245535715 | Julianne Christine Ray | Physician Assistant | 6965 Cumberland Gap Parkway, Lincoln Memorial University, Harrogate, TN 37752 | 2011-01-14 |
| 1003975392 | Psychiatric Practice,llc | Psychiatry & Neurology | 6144 Cumberland Gap Pkway, Suite 1, Harrogate, TN 37752 | 2006-12-06 |
| 1306938352 | Hearland Medical P C | Family Medicine | 170 Beech Street, Suite 1, Harrogate, TN 37752 | 2006-09-28 |
| 1790889475 | Nancy Deane Good Maddox | Psychologist | 6144 Cumberland Gap Parkway, Suite 2, Harrogate, TN 37752 | 2006-09-12 |
| 1710913090 | Gina Marie Defranco | Family Medicine | 424 N. Broad Street, New Tazewell, TN 37752 | 2006-06-25 |
| 1497792253 | Kenneth P Trzil | Emergency Medicine | 165 Westermoreland St, Harrogate, TN 37752 | 2006-06-01 |
| 1831164862 | Ramesh Kadekoppal Rao | Radiology | 389 Forge Ridge Road, Harrogate, TN 37752 | 2006-02-22 |
| 1447867080 | Evgenia Pavlovna Suttles | Registered Nurse | 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 | 2020-09-28 |
| 1306204524 | Matthew Robinson | Specialist/Technologist | 362 Catalpa Ave, Harrogate, TN 37752 | 2016-02-02 |
| Find all providers in zip 37752 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295281145 | Tracie Herrell | Nurse Practitioner | 159 Piccadilly Ave, Harrogate, TN 37752 | 2016-08-31 |
| 1346563459 | Sherri J Robertson | Nurse Practitioner | 6650 Cumberland Gap Pkwy, Harrogate, TN 37752-8012 | 2010-03-03 |
| 1104941053 | Amanda G Brown | Nurse Practitioner | 6976 Cumberland Gap Pkwy, Harrogate, TN 37752-8230 | 2007-03-20 |
| 1922180991 | Debbie A Poore | Nurse Practitioner | 169 Westmoreland St, Harrogate, TN 37752 | 2006-10-19 |
| 1225663651 | Crystal L Larrimore | Nurse Practitioner | 6976 Cumberland Gap Pkwy, Harrogate, TN 37752-8230 | 2020-03-05 |
| 1932760782 | Lindsey Lundquist | Nurse Practitioner | 6650 Cumberland Gap Pkwy, Harrogate, TN 37752-8012 | 2019-06-24 |
| 1700385473 | Lindsey A Hall | Nurse Practitioner | 170 Beech St Ste 1, Harrogate, TN 37752-8251 | 2018-02-07 |
| 1700338100 | Sarah Elizabeth Lawson | Nurse Practitioner | 6976 Cumberland Gap Pkwy, Harrogate, TN 37752-8230 | 2016-11-01 |
| 1144602574 | Harrogate Health Group LLC | Nurse Practitioner | 6650 Cumberland Gap Pkwy, Harrogate, TN 37752-8012 | 2015-06-22 |
| 1992185557 | Kristi Leigh Myers | Nurse Practitioner | 6650 Cumberland Gap Pkwy, Harrogate, TN 37752-8012 | 2015-06-08 |
| Find all providers in HARROGATE | ||||
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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.