KEVIN DWAYNE HYATT (NPI# 1699107672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699107672 |
| Entity Type | Individual |
| Full Name | KEVIN DWAYNE HYATT |
| Credential | B.S. |
| Practice Address |
120 Hospital Dr Suite 230 Jefferson City TN 37760-5287 |
| Mailing Address |
6350 W Andrew Johnson Hwy Department 100 Talbott TN 37877-8605 |
| Practice Telephone | 8654710312 |
| Practice Fax Number | 8654752802 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134107626 | Kevin Ann Hyatt | Nurse Anesthetist, Certified Registered | 2411 Fountainview, Suite 200, Houston, TX 77057-4817 | 2006-01-04 |
| 1609880772 | Kevin J. Hyatt | Dentist | 301 East Ave, Elyria, OH 44035-5736 | 2006-07-27 |
| Street Address |
120 HOSPITAL DR SUITE 230 |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-5287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730646084 | Angela Brooke Burkhalter | Physician Assistant | 120 Hospital Dr, Jefferson City, TN 37760-5287 | 2019-02-22 |
| 1013374503 | Aaron C. Harris | Physician Assistant | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2016-01-28 |
| 1982076766 | Melissa A Cameron | Nurse Practitioner | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2015-10-20 |
| 1700267929 | Tabetha Mcgill | Health Educator | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2015-06-12 |
| 1538412333 | Eva Huntsman | Nurse Practitioner | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2012-10-18 |
| 1073862124 | Sheri Agatha Nsamenang | Student in an Organized Health Care Education/Training Program | 120 Hospital Dr, Suite 230, Jefferson City, TN 37760-5287 | 2012-09-05 |
| 1558633370 | Vicki Lynn Merritt | Case Manager/Care Coordinator | 120 Hospital Dr, Suite 230, Jefferson City, TN 37760-5287 | 2012-02-09 |
| 1730461666 | Jacqueline S Zgiet | Nurse Practitioner | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2011-09-16 |
| 1912289471 | Janet Colleen Hall | Registered Nurse | 120 Hospital Dr, Suite 230, Jefferson City, TN 37760-5287 | 2011-09-12 |
| 1760774301 | Jessica Deanne Albright | Pediatrics | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2011-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| Find all providers in zip 37760 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609334416 | Kelsey Schenewerk | Student in an Organized Health Care Education/Training Program | 233 Joe Ln, Jefferson City, MO 65101-5531 | 2019-03-11 |
| 1689132979 | Chelsi Lynne Emerson | Student in an Organized Health Care Education/Training Program | 3523 Shamrock Rd, Jefferson City, MO 65101-9206 | 2019-03-06 |
| 1962960252 | Colton Lee Ferguson | Student in an Organized Health Care Education/Training Program | 2711 Cedarwood Ct, Jefferson City, MO 65109-9313 | 2019-03-06 |
| 1609306315 | Alyssa Danielle Higgins | Student in an Organized Health Care Education/Training Program | 1125 Madison St Dept Of, Jefferson City, MO 65101-5227 | 2017-06-14 |
| 1023312550 | James David Dolbow | Student in an Organized Health Care Education/Training Program | 2021 N Sizer Ave Apt 224, Jefferson City, TN 37760-5149 | 2010-12-23 |
| 1982257960 | Kahlil A Gaiters | Student in an Organized Health Care Education/Training Program | 1125 Madison St, Jefferson City, MO 65101-5200 | 2019-07-19 |
| 1578025540 | Tiffany Faye Burns | Student in an Organized Health Care Education/Training Program | 2725 Merchants Dr, Jefferson City, MO 65109-1161 | 2019-04-01 |
| 1073862124 | Sheri Agatha Nsamenang | Student in an Organized Health Care Education/Training Program | 120 Hospital Dr, Suite 230, Jefferson City, TN 37760-5287 | 2012-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467242 | Taylor Bedwell | Student in an Organized Health Care Education/Training Program | 941 Bluejay Way, Gallatin, TN 37066-4414 | 2020-11-07 |
| 1194323360 | Bradley Stephen Donesky | Student in an Organized Health Care Education/Training Program | 245 Indian Lake Blvd Apt B305, Hendersonville, TN 37075-6295 | 2020-10-11 |
| 1992310338 | Alicia Renee' Plunkett | Student in an Organized Health Care Education/Training Program | 9622 Cedar Mist Cv E, Cordova, TN 38016-2306 | 2020-09-11 |
| 1114531829 | Amanda Nicole Olevsky | Student in an Organized Health Care Education/Training Program | 1400 Parker Street, Cleveland, TN 37311-4566 | 2020-09-01 |
| 1730790346 | Kaitlyn Amanda Bennorth | Student in an Organized Health Care Education/Training Program | 605 Ploughmans Bend Dr, Franklin, TN 37064-4259 | 2020-08-17 |
| 1134730849 | William Trey E Johnson IIi | Student in an Organized Health Care Education/Training Program | 2930 Beaverwood Dr, Knoxville, TN 37918-4606 | 2020-08-14 |
| 1730798240 | Taylor Michael Smith | Student in an Organized Health Care Education/Training Program | 21 Windfield Cv, Jackson, TN 38305-9778 | 2020-07-30 |
| 1386252013 | Rhaina Johnson | Student in an Organized Health Care Education/Training Program | 2639 Central Ave Apt V1, Memphis, TN 38104-5954 | 2020-07-20 |
| 1619585668 | Mohammad Darweesh | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd # 439-7280, Johnson City, TN 37604-6056 | 2020-07-16 |
| 1821606021 | Stephanie Bell | Student in an Organized Health Care Education/Training Program | 5091 Windcrest Rd, Memphis, TN 38116-8526 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
Please comment or provide details below to improve the information on KEVIN DWAYNE HYATT.
| 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.