FRONTIER HEALTH (NPI# 1720147408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720147408 |
| Entity Type | Organization |
| Organization Name | FRONTIER HEALTH |
| Practice Address |
1167 Spratlin Park Dr Gray TN 37615-6205 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 4234673700 |
| Practice Fax Number | 4234673644 |
| Mailing Telephone | 4234673700 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | DR. TERESA M KIDD (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4234673700 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | FRONTIER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174005276 | Frontier Health | Community/Behavioral Health | 210 Quarry Rd, Johnson City, TN 37601-7580 | 2018-09-05 |
| 1871949123 | Frontier Health | Community/Behavioral Health | 433 New Beason Well Rd, Kingsport, TN 37660-2729 | 2016-05-05 |
| 1871947754 | Frontier Health | Community/Behavioral Health | 321 Possum Creek Rd, Bluff City, TN 37618-3612 | 2016-04-18 |
| 1124463849 | Frontier Health | Psychiatric Residential Treatment Facility | 210 Quary Rd, Johnson City, TN 37601-7580 | 2013-05-08 |
| 1326288093 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2940 Broad St, Bristol, TN 37620-3414 | 2009-02-20 |
| 1871733543 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 801 Arnold Rd, Greeneville, TN 37743-3105 | 2009-02-20 |
| 1144460817 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2301 E Center St, Kingsport, TN 37664-2701 | 2009-02-20 |
| 1417197153 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1113 King Springs Rd, Johnson City, TN 37601-5009 | 2009-02-20 |
| 1265632392 | Frontier Health | Community Based Residential Treatment Facility, Mental Illness | 516 Swadley Rd, Johnson City, TN 37601-9000 | 2007-07-18 |
| 1073735643 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 719 Kentucky Ave, Bristol, TN 37620-3806 | 2007-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | FRONTIER HEALTH | 1941 Park Ave Sw, P.o. Box 1130, Norton, Virginia 24273 |
| Colorado Business Entities | Frontier Health & Wellness, Inc. | 255 Little Park Road, Grand Junction, CO 81507 |
| New York State Corporations | FRONTIER HEALTH AGENTS LLC | 5828 Forest Creek Drive, E Amherst, New York 14051 |
| Washington State Corporations | FRONTIER HEALTH CARE ASSOCIATES INC | 10362 Capistrano Place, Poulsbo, WA 98370 |
| Colorado Business Entities | FRONTIER HEALTH NETWORK | |
| New York State Corporations | FRONTIER HEALTH, CARLINE LAMOUR-OCCEAN, NP IN ADULT HEALTH P.C. | 1975 University Avenue, Bronx, New York 10453 |
| New York State Corporations | FRONTIER HEALTHCARE BILLING SERVICES LLC | 28 Liberty St., New York, New York 10005 |
| North Carolina Corporations | Frontier Healthcare Billing Services LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Oklahoma Business Registrations | FRONTIER HEALTHCARE GROUP, INC. | 324 Goldfinch Dr, Ft Worth, TX 76108 |
| Street Address |
1167 SPRATLIN PARK DR |
| City | GRAY |
| State | TN |
| Zip Code | 37615-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699101618 | Frontier Health | Community Based Residential Treatment Facility, Mental Illness | 1167 Spratlin Park Dr, Gray, TN 37615-6205 | 2013-09-23 |
| 1720326010 | Denise M Sturgill | Case Manager/Care Coordinator | 1167 Spratlin Park Dr, Gray, TN 37615-6205 | 2013-01-22 |
| 1023256195 | Melinda Haskett | Registered Nurse | 1167 Spratlin Park Dr, Gray, TN 37615-6205 | 2009-01-28 |
| 1639317712 | Sara Elizabeth King | Registered Nurse | 1167 Spratlin Park Dr, Gray, TN 37615-6205 | 2009-01-28 |
| 1649417270 | Angela Marie Williams | Case Manager/Care Coordinator | 1167 Spratlin Park Dr, Gray, TN 37615-6205 | 2009-01-20 |
| 1841437845 | James Alvin Mason | Registered Nurse | 1167 Spratlin Park Dr, Gray, TN 37615-6205 | 2009-01-13 |
| 1538304001 | Mary Frances Filonuk | Specialist | 1167 Spratlin Park Dr, Gray, TN 37615-6205 | 2008-12-11 |
| 1811140890 | Daniel Lee Marshall | Case Manager/Care Coordinator | 1167 Spratlin Park Dr, Gray, TN 37615-6205 | 2008-11-04 |
| 1215079421 | Leslie Anne Lowe Meade | Social Worker | 1167 Spratlin Park Dr, Gray, TN 37615-6205 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568962983 | Clayton Kilgore | Pharmacist | 208 Suncrest St Unit 1, Gray, TN 37615 | 2018-02-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1700018603 | Anna Lynne Deal | Nurse Practitioner | 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 | 2009-08-11 |
| 1285876631 | Leigh A Furman | Occupational Therapist | 253 Wiltshire Dr., Gray, TN 37615 | 2009-04-01 |
| 1811098908 | Fay Lynn Bembry | Nurse Practitioner | 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 | 2006-09-25 |
| 1871528976 | Boones Creek Medical Pllc | Family Medicine | 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 | 2006-07-11 |
| 1568402048 | Joseph Vincent Pinyard Jr. | Family Medicine | 880 Boones Station Rd, Johnson City, TN 37615 | 2006-06-07 |
| 1548223084 | Pitchar Theerathorn | Internal Medicine | 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 | 2006-04-07 |
| 1194717157 | Susan Kay Pennypacker | Nurse Practitioner | 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 | 2005-08-16 |
| Find all providers in zip 37615 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144612995 | Sade Verdin | Community/Behavioral Health | 3253 W Park Ave, Gray, LA 70359-3512 | 2015-03-02 |
| 1669668414 | River Edge Behavioral Health Center | Community/Behavioral Health | 530 Settlement Rd Ste A, Gray, GA 31032-6030 | 2007-09-14 |
| 1568525624 | Care Focus, Inc. | Community/Behavioral Health | 144 Old Gray Station Rd, Suite 100, Gray, TN 37615-3434 | 2006-12-19 |
| 1487716577 | River Edge Behavioral Health Center | Community/Behavioral Health | 151 Childs St, Gray, GA 31032-5637 | 2006-12-14 |
| 1235290859 | River Edge Behavorial Health Center | Community/Behavioral Health | 324 Highway 18 East, Gray, GA 31032 | 2006-12-13 |
| 1437211067 | River Edge Behavioral Health Center | Community/Behavioral Health | 502 West Clinton Street, Gray, GA 31032 | 2006-12-13 |
| 1154481505 | River Edge Behavioral Health Center | Community/Behavioral Health | 530 Settlement Rd, Ste. A, Gray, GA 31032-6030 | 2006-12-08 |
| 1245399666 | River Edge Behavorial Health Center | Community/Behavioral Health | 110 Maggie Califf St, Gray, GA 31032-9322 | 2006-12-08 |
| 1669919874 | Christopher Aaron Counseling Center | Community/Behavioral Health | 26 Main St., Gray, ME 04039-2002 | 2017-01-25 |
| 1275926461 | All Pro Behavioral Health Services, LLC | Community/Behavioral Health | 3253 W Park Ave, Gray, LA 70359-3512 | 2015-03-11 |
| Find all providers in GRAY | ||||
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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.