MAUREEN A GAYNOR


Address: 1570 Waverly Rd, Kingsport, TN 37664-2523
Phone: 4232241300

MAUREEN A GAYNOR (NPI# 1730230681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730230681
Entity Type Individual
Full Name MAUREEN A GAYNOR
Credential ARNP
Practice Address 1570 Waverly Rd
Kingsport
TN 37664-2523
Mailing Address 1167 Spratlin Park Dr
Gray
TN 37615-6205
Practice Telephone 4232241300
Practice Fax Number 4234673644
Mailing Telephone 4234673600
Mailing Fax Number 4234673644
Enumeration Date 2007-01-16
Last Update Date 2017-01-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
049181-23-08 NH Physician Assistants & Advanced Practice Nursing Providers
Y 364SP0808X Clinical Nurse Specialist
Specialization: Psych/Mental Health
21311 TN Physician Assistants & Advanced Practice Nursing Providers

Other Providers MAUREEN GAYNOR

NPI Name Taxonomy Address Enumeration
1942279781 Maureen Mary Gaynor Physical Therapist 570 E Division St, Rockford, MI 49341-1323 2006-03-15

Office Location

Street Address 1570 WAVERLY RD
City KINGSPORT
State TN
Zip Code 37664-2523

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356372007 Mary Kathleen O'keeffe Marriage & Family Therapist 1570 Waverly Rd, Kingsport, TN 37664-2523 2006-07-05
1386257103 Elizabeth L. Mcfarland Counselor 1570 Waverly Rd, Kingsport, TN 37664-2523 2020-08-31
1902428014 Necole L Richardson Counselor 1570 Waverly Rd, Kingsport, TN 37664-2523 2020-05-12
1922635671 Calantrica Hunt Counselor 1570 Waverly Rd, Kingsport, TN 37664-2523 2020-03-24
1497217616 Kerri Elyse Paulsen Counselor 1570 Waverly Rd, Kingsport, TN 37664-2523 2019-04-05
1205303674 Beatrice Sharon Herbert Licensed Practical Nurse 1570 Waverly Rd, Kingsport, TN 37664-2523 2018-10-24
1508333972 Heather Nicole Hudson Licensed Practical Nurse 1570 Waverly Rd, Kingsport, TN 37664-2523 2018-10-24
1093296048 Matthew Andrews Social Worker 1570 Waverly Rd, Kingsport, TN 37664-2523 2018-08-28
1285129544 Gina Monique Brown Nurse Practitioner 1570 Waverly Rd, Kingsport, TN 37664-2523 2018-06-28
1710482849 Amber Michelle Anzalone Case Manager/Care Coordinator 1570 Waverly Rd, Kingsport, TN 37664-2523 2018-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972067395 Alice Victoria Lilly Nurse Practitioner 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 2019-01-30
1861966525 Catherine Ann Hensley Nurse Practitioner 2995 Fort Henry Drive, Suite 100, Kingsport, TN 37664 2019-01-16
1679076954 Christopher A Hillman Dentist 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664 2018-03-13
1154666733 Cristin Patterson Counselor 2762 East Center St., Kingsport, TN 37664 2012-12-07
1972851095 Kevin Michael Smith Pharmacist 1425 East Center Street, Kingsport, TN 37664 2012-08-21
1619299617 Kelli Lynn Dillon Counselor 1570 Waverly Rorad, Kingsport, TN 37664 2010-02-18
1356503726 Charles Craig Stieler Hearing Instrument Specialist 2101 Ft Henry Dr, Kingsport, TN 37664 2008-06-27
1104012319 Pro Balance LLC Prosthetic/Orthotic Supplier 2408 Fort Henry Drive, Kingsport, TN 37664 2007-09-20
1518188648 Remington House Assisted Living Facility 640 Rock Springs Road, Kingsport, TN 37664 2007-05-02
1689795007 Elaine Frazier Emergency Medicine 410 Golf Ridge Dr, Kingsport, TN 37664 2007-04-03
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Taxonomy Information

Taxonomy Code 364SP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548724388 Caroline Post Cone Clinical Nurse Specialist 301 Mallory Station Rd Ste 110, Franklin, TN 37067-2823 2019-01-25
1518286194 The Focus Center Counseling & Psychiatric Services Clinical Nurse Specialist 1901a Logue Rd, Mount Juliet, TN 37122-3825 2010-05-22
1720090202 Jean B Blackburn Clinical Nurse Specialist 6419 Laramie Cir, Chattanooga, TN 37421 2006-08-12
1134632243 Maria Inez Valenca Clinical Nurse Specialist 413 Spring St, Chattanooga, TN 37405-3848 2017-11-10
1962944926 Carey Michael Reed Clinical Nurse Specialist 1 Medical Center Blvd, Cookeville, TN 38501-4294 2016-11-08
1497107874 Amy E Greer Clinical Nurse Specialist 238 Summar Dr, Jackson, TN 38301-3906 2016-07-08
1700256484 Goodman Center, LLC Clinical Nurse Specialist 116 Concord Rd, Ste 100, Farragut, TN 37934-2940 2015-10-07
1689063760 Jo Susan Offutt-blackaby Clinical Nurse Specialist 1101 6th Ave N, Nashville, TN 37208-2650 2015-01-13
1043597552 Juliet Roche Clinical Nurse Specialist 408 Virginia St, Paris, TN 38242 2011-11-11
1952629198 Lifeworks Behavioral Health Inc Clinical Nurse Specialist 174 Murray Guard Dr, Suite B, Jackson, TN 38305-3742 2010-05-12
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Competitor

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City KINGSPORT
Zip Code 37664

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Dataset Information

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.

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