JAMI LYNN REAVES (NPI# 1679783567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679783567 |
| Entity Type | Individual |
| Full Name | JAMI LYNN REAVES |
| Credential | DO |
| Practice Address |
8 Sheridan Sq Ste 110 Kingsport TN 37660-7478 |
| Practice Telephone | 4234081508 |
| Practice Fax Number | 4232180138 |
| Mailing Telephone | 4234081508 |
| Mailing Fax Number | 4232180138 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | DO2262 | TN | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 4371 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1530991 | 05 |
| Street Address |
8 SHERIDAN SQ STE 110 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-7478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396868022 | Otakar Krcal | Psychiatry & Neurology | 8 Sheridan Sq, Ste 200, Kingsport, TN 37660-7479 | 2007-04-09 |
| 1700320587 | Cara Stout | Nurse Practitioner | 8 Sheridan Sq, Suite 200, Kingsport, TN 37660-7478 | 2016-12-13 |
| 1033664503 | Sandra M Henderson | Nurse Practitioner | 8 Sheridan Sq, Suite 110, Kingsport, TN 37660-7478 | 2016-08-24 |
| 1316283252 | Calladerm LLC | Dermatology | 8 Sheridan Sq, Suite 110, Kingsport, TN 37660-7478 | 2012-12-21 |
| 1295064798 | Tracie Price | Nurse Practitioner | 8 Sheridan Sq, Ste 200, Kingsport, TN 37660-7479 | 2009-12-11 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932187200 | Joni Glavan Sago | Dermatology | 2300 W Stone Dr, Kingsport, TN 37660-2360 | 2006-01-05 |
| 1780154245 | Emily Renee Shelburne | Dermatology | 2300 W Stone Dr, Kingsport, TN 37660-2360 | 2018-11-27 |
| 1881057826 | Kelley Ramsauer | Dermatology | 2300 W Stone Dr, Kingsport, TN 37660-2360 | 2016-03-29 |
| 1316365455 | Allison Pierce | Dermatology | 2300 W Stone Dr, Kingsport, TN 37660-2360 | 2014-04-05 |
| 1154663672 | Kyle Phillip Radack | Dermatology | 2300 W Stone Dr, Kingsport, TN 37660-2360 | 2013-03-22 |
| 1790047124 | Casey Elizabeth Watkins | Dermatology | 2300 W Stone Dr, Kingsport, TN 37660-2360 | 2012-06-12 |
| 1245509280 | Medical Education Assistance Corporation | Dermatology | 4 Sheridan Sq Ste 200, Kingsport, TN 37660-7435 | 2011-12-20 |
| 1295927721 | Julia Erin Reid | Dermatology | 2300 W Stone Dr, Kingsport, TN 37660-2360 | 2007-08-17 |
| 1356556187 | Holly A Sanders | Dermatology | 2300 W Stone Dr, Kingsport, TN 37660-2360 | 2007-05-14 |
| 1487695862 | Dermatology Associates of Kingsport, P.C. | Dermatology | 2300 W Stone Dr, Kingsport, TN 37660-2360 | 2006-06-09 |
| 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.