ANGEL KILGORE (NPI# 1720609209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720609209 |
| Entity Type | Individual |
| Full Name | ANGEL KILGORE |
| Practice Address |
2408 Susannah St Johnson City TN 37601-1732 |
| Practice Telephone | 4234346677 |
| Practice Fax Number | 4234610000 |
| Mailing Telephone | 4234346677 |
| Mailing Fax Number | 4234610000 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
2408 SUSANNAH ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962429647 | Tri-state Cardiology | Specialist | 2408 Susannah St, Ste.1, Johnson City, TN 37601-1728 | 2006-07-17 |
| 1114462215 | East Tennessee Recovery Pllc | Counselor | 2408 Susannah St, Johnson City, TN 37601-1732 | 2016-12-27 |
| 1699015743 | Robert Calvin Perry Jr. | Social Worker | 2408 Susannah St, Johnson City, TN 37601-1748 | 2013-02-27 |
| 1144564162 | Lisa Ann Tipton | Case Manager/Care Coordinator | 2408 Susannah St, Johnson City, TN 37601-1748 | 2012-11-15 |
| 1629322839 | Gwendolyn Lisa Buchanan | Counselor | 2408 Susannah St, Johnson City, TN 37601-1748 | 2012-11-09 |
| 1255685558 | Kayla Beth Hyder | Case Manager/Care Coordinator | 2408 Susannah St, Johnson City, TN 37601-1748 | 2012-11-08 |
| 1962756262 | Caroline Marie Neal | Case Manager/Care Coordinator | 2408 Susannah St, Johnson City, TN 37601-1748 | 2012-11-08 |
| 1982958294 | Dara Faye Powell | Case Manager/Care Coordinator | 2408 Susannah St, Johnson City, TN 37601-1748 | 2012-11-08 |
| 1689928988 | Helen Morris Lane | Case Manager/Care Coordinator | 2408 Susannah St, Johnson City, TN 37601-1748 | 2012-11-08 |
| 1720332133 | Savannah Brooke Norton | Case Manager/Care Coordinator | 2408 Susannah St, Johnson City, TN 37601-1748 | 2012-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1891264453 | George Allen Clay | Peer Specialist | 509 S Highland Park Ave, Chattanooga, TN 37404-2932 | 2018-11-13 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1336748375 | Lydia Stoutt | Peer Specialist | 320 W 3rd North St, Morristown, TN 37814-4038 | 2020-10-21 |
| 1730787706 | Trey Lovelace | Peer Specialist | 310 W 3rd North St, Morristown, TN 37814-4038 | 2020-10-13 |
| 1386251684 | Terri L Robinson | Peer Specialist | 205 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-09-30 |
| 1629686068 | Mary Franfces Miller | Peer Specialist | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-07-22 |
| 1053939256 | Meredith Roxanne Cross | Peer Specialist | 17 Ridgeway Rd, Norris, TN 37828-3071 | 2020-07-14 |
| 1184242638 | Misty Lee Matheney | Peer Specialist | 839 Wren Rd, Goodlettsville, TN 37072-2316 | 2020-07-10 |
| 1558989434 | Chasity Hope Galyon | Peer Specialist | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.