MRS. AGNES GARCIA DICKENSON (NPI# 1689018244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689018244 |
| Entity Type | Individual |
| Full Name | MRS. AGNES GARCIA DICKENSON |
| Practice Address |
215 Hawks Rd Martin TN 38237-2708 |
| Mailing Address |
103 Shadow Wood Cv Martin TN 38237-8148 |
| Practice Telephone | 7315870072 |
| Mailing Telephone | 7315879482 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
TN3367 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
215 HAWKS RD |
| City | MARTIN |
| State | TN |
| Zip Code | 38237-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124085519 | Billie Jo Kennett | Nurse Practitioner | 215 Hawks Rd, Suite 6, Martin, TN 38237-2708 | 2006-04-28 |
| 1629517834 | Sarah Elizabeth Huffstetler | Nurse Practitioner | 215 Hawks Rd, Suite 6, Martin, TN 38237-2708 | 2017-02-21 |
| 1184084626 | Aiesha Clayton | Physician Assistant | 215 Hawks Rd, Suite 6, Martin, TN 38237-2708 | 2016-02-25 |
| 1427460278 | Ayana Lakulia Chism | Social Worker | 215 Hawks Rd, Suite 5, Martin, TN 38237-2708 | 2014-05-28 |
| 1063791531 | New Perspectives, LLC. | Counselor | 215 Hawks Rd, Suite 5, Martin, TN 38237-2708 | 2011-08-15 |
| 1831305572 | Stephen D Raines | Durable Medical Equipment & Medical Supplies | 215 Hawks Rd, Martin, TN 38237-2708 | 2007-05-16 |
| 1992919096 | Amiee Foley Stooksberry | Nurse Practitioner | 215 Hawks Rd, Suite 6, Martin, TN 38237-2708 | 2007-05-09 |
| 1497898407 | Sharon P Page | Nurse Practitioner | 215 Hawks Rd, Suite 3, Martin, TN 38237-2708 | 2007-02-15 |
| 1255473823 | Tracy Nassar | Counselor | 215 Hawks Rd, Suite 5, Martin, TN 38237-2708 | 2007-02-12 |
| 1780725770 | Laura Toney | Counselor | 215 Hawks Rd, Martin, TN 38237-2708 | 2007-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034385 | Megan Ables | Pharmacist | 2253 Mount Pelia Road, Martin, TN 38237 | 2018-12-06 |
| 1336669159 | Alex Reamy | Specialist/Technologist | 15 Mt. Pelia Road, Martin, TN 38237 | 2017-06-22 |
| 1134655731 | West Tennessee Rehabilitation Hospital, LLC | Medicare Defined Swing Bed Unit | 180 Mount Pelia Road, Martin, TN 38237 | 2017-05-03 |
| 1275901381 | William Zimmerman | Chiropractor | 633 Haygood Rd, Martin, TN 38237 | 2015-09-04 |
| 1588080683 | Cory S Davis | Chiropractor | 116 Masonic Dr, Martin, TN 38237 | 2014-03-13 |
| 1063837946 | Tolliver-scott & Associates | Private Vehicle | 113 Kenny Road, Martin, TN 38237 | 2014-02-28 |
| 1982932711 | Anne M Fritcher | Physician Assistant | 189 Mount Pelia Rd, Martin, TN 38237 | 2009-12-07 |
| 1295062669 | Laura C Plunk | Behavioral Analyst | University Commons, Martin, TN 38237 | 2009-11-05 |
| 1710210497 | Stacie M. Callins | Specialist | 180 Mt. Pelia Rd., Healthsouth Cane Creek Rehab. Hospital, Martin, TN 38237 | 2009-09-11 |
| 1275739930 | Diagnostic Imaging Consultants,ltd | Radiology | 215 Hawks Rd Ste 4, Martin, TN 38237 | 2007-06-21 |
| Find all providers in zip 38237 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506262 | Therapy On The Move | Physical Therapist | 5371 Highway 297, Pioneer, TN 37847-4282 | 2019-09-04 |
| 1649838517 | Lindsay Carter Jones | Physical Therapist | 901 Teasel Dr, Kingsport, TN 37660-3261 | 2019-06-05 |
| 1932540648 | Elena Maria Miller | Physical Therapist | 581 Zachary Ln, Jackson, TN 38305-5679 | 2013-07-10 |
| 1619315942 | Kelsey Martha Humphrey | Physical Therapist | 4384 Conger Rd, Louisville, TN 37777-5118 | 2013-06-09 |
| 1801131610 | Emma Hernandez Tenerife | Physical Therapist | 505 Buchanan Road, New Tazewell, TN 37825 | 2012-12-05 |
| 1497017578 | Leo Tagbar Sumatra | Physical Therapist | 13135 Lebanon Rd, Mount Juliet, TN 37122-2873 | 2012-06-13 |
| 1952682700 | I Karen Howard | Physical Therapist | 808 Circle Hill Dr, Selmer, TN 38375-2292 | 2011-09-07 |
| 1942507850 | Megan Mayeux Smith | Physical Therapist | 2317 Us Highway 411 S, Maryville, TN 37801-8634 | 2011-02-13 |
| 1548454721 | Sean Frederick Preiss | Physical Therapist | 721 Mcguffeys Dr, Knoxville, TN 37934-8204 | 2007-08-30 |
| 1073125662 | Rehab At Your Space, LLC | Physical Therapist | 6320 N Quail Hollow Rd, Memphis, TN 38120-1420 | 2020-08-17 |
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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.