MR. JASON CURTIS FAGAN (NPI# 1730377219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730377219 |
| Entity Type | Individual |
| Full Name | MR. JASON CURTIS FAGAN |
| Practice Address |
405 Orchard Rd Elizabethton TN 37643-4022 |
| Practice Telephone | 4233426177 |
| Mailing Telephone | 4233426177 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 71626 | TN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538418934 | Jason Daniel Fagan | Physician Assistant | 270 W Lake Mead Pkwy, Henderson, NV 89015 | 2012-08-31 |
| Street Address |
405 ORCHARD RD |
| City | ELIZABETHTON |
| State | TN |
| Zip Code | 37643-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558831115 | Blue Ridge Medical Management Corporation | Internal Medicine | 404 Bemberg Rd, Elizabethton, TN 37643 | 2018-11-27 |
| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| 1437533924 | Dr. Benjamin D. Parrish and Assoc Od. PC | Optometrist | 114 S. Sycamore St, Elizabethton, TN 37643 | 2015-07-14 |
| 1972980431 | Valerie Lynn Pierce | Nurse's Aide | 101 Crowe Rd, Elizabethton, TN 37643 | 2015-05-04 |
| 1679816730 | Jeremy Meyer | Surgery | 1497 W Elk Ave Ste 10, Elizabethton, TN 37643 | 2013-03-27 |
| 1649579087 | Melinda Lynn Jennings | Pharmacist | 507 West Elk Ave, Elizbethton, TN 37643 | 2011-03-24 |
| 1588987036 | Troy Kevin Covarrubias | Driver | 219 Coal Chute Rd, Elizabethton, TN 37643 | 2010-03-11 |
| 1649502048 | Derek Charles Rhoton | Physician Assistant | 1500 West Elk Ave, Elizabethton, TN 37643 | 2010-02-10 |
| 1144456047 | Peacock Medical Equipment and Home Health Care LLC | Home Health | 1201 Highway 19 E Bypass Suite 3, Elizabethton, TN 37643 | 2009-06-05 |
| 1235386434 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1210 Militia Ct., Elizabethton, TN 37643 | 2008-08-19 |
| Find all providers in zip 37643 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467556191 | Linda Sue Oliver | Licensed Practical Nurse | 426 East G Street, Elizabethton, TN 37643 | 2006-09-12 |
| 1164902359 | Tiffany Michelle Stout | Licensed Practical Nurse | 426 E G St, Elizabethton, TN 37643-3224 | 2018-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001784 | Natalie Raye Higginbotham | Licensed Practical Nurse | 505 E Ash St, La Follette, TN 37766-2529 | 2020-10-22 |
| 1750989521 | April Nicole Milam | Licensed Practical Nurse | 600 Jefferson Ave Ste 350, Memphis, TN 38105-4900 | 2020-10-14 |
| 1922606953 | Latonya Rochelle Addison | Licensed Practical Nurse | 8855 N Cortona Cir, Cordova, TN 38018-6978 | 2020-10-12 |
| 1487269437 | Cathy Jones | Licensed Practical Nurse | 2047 Dutch Valley Rd, Clinton, TN 37716-5121 | 2020-09-15 |
| 1902410855 | Jessica Adams | Licensed Practical Nurse | 1496 Dardon Ave, Memphis, TN 38116-8410 | 2020-09-08 |
| 1639782733 | Maresa Grines Huggins | Licensed Practical Nurse | 6939 7th Rd, Bartlett, TN 38135-2582 | 2020-08-28 |
| 1326659483 | Kristen Julia Rash | Licensed Practical Nurse | 1813 6th Ave, Knoxville, TN 37917-5830 | 2020-08-12 |
| 1215545942 | Rhonda Jean Jeffers | Licensed Practical Nurse | 3860 Helenwood Loop Rd, Helenwood, TN 37755-5562 | 2020-07-20 |
| 1881210953 | Jennifer Higginbotham | Licensed Practical Nurse | 1126 Cross Valley Rd, La Follette, TN 37766-4964 | 2020-06-24 |
| 1043833775 | Selena Myers | Licensed Practical Nurse | 2125 Old County Garage Rd, Helenwood, TN 37755-5385 | 2020-05-28 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTON |
| Zip Code | 37643 |
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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.