TERESA A ELLIS (NPI# 1760547814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760547814 |
| Entity Type | Individual |
| Full Name | TERESA A ELLIS |
| Practice Address |
423 Medical Park Dr Suite 400 Lenoir City TN 37772-5640 |
| Mailing Address |
6800 Baum Dr Building 1 Knoxville TN 37919-7315 |
| Practice Telephone | 8653747100 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 53601 | TN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568075927 | Teresa Ellis | Counselor | 8308 Ohio River Rd Ste B, Wheelersburg, OH 45694-1713 | 2020-08-26 |
| 1568545119 | Teresa Eileen Ellis | Dentist | 1720 West Ave, Suite 106, Crossville, TN 38555-4066 | 2006-10-24 |
| 1841388584 | Teresa D Ellis | Nurse Anesthetist, Certified Registered | 1000 Saint Christopher Dr, Ashland, KY 41101-7034 | 2006-10-10 |
| 1619948569 | Teresa W Ellis | Nurse Practitioner | 800 Rose St, University of Kentucky Dept of Anesthesiology, Lexington, KY 40536-7001 | 2006-01-30 |
| Street Address |
423 MEDICAL PARK DR SUITE 400 |
| City | LENOIR CITY |
| State | TN |
| Zip Code | 37772-5640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922080936 | Parkwest Medical Center | Clinic/Center | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2005-11-16 |
| 1649718065 | Joshua Reagan | Counselor | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2017-02-06 |
| 1871985796 | Jessica Cagle | Counselor | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2015-03-02 |
| 1275972895 | Avni B Patel | Family Medicine | 423 Medical Park Dr, Suite 100, Lenoir City, TN 37772-5640 | 2013-06-17 |
| 1881037067 | Sallie Ray | Counselor | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2013-04-08 |
| 1679811434 | Camie D. Manning | Social Worker | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2013-01-29 |
| 1700123890 | Michelle Hatter | Counselor | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2013-01-09 |
| 1548541147 | Matthew R. Moore | Social Worker | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2011-09-09 |
| 1730468182 | Covenant Medical Group, Inc | Specialist | 423 Medical Park Dr, Ste 100, Lenoir City, TN 37772-5640 | 2011-08-16 |
| 1578881132 | Loudon County Pediatrics, PC | Clinical Nurse Specialist | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2010-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811458565 | Physician Associate Resources, Plc | Physician Assistant | 1559 Highland Park Drive, Lenoir City, TN 37772 | 2019-03-26 |
| 1447732235 | Back To Nu Low T Solutions, LLC | Nurse Practitioner | 2271 Highway 11 E Unit 1, Lenoir City, TN 37772 | 2018-08-29 |
| 1225519549 | Li Yin Chin Goode | Physical Therapist | 576 Ft Loudoun Med Ctr Dr Ste 100a, Lenoir City, TN 37772 | 2018-08-24 |
| 1982051298 | Louis I Reper II | Podiatrist | 125 Town Creek Rd E Ste 3, Lenoir City, TN 37772 | 2016-05-17 |
| 1407293293 | Summit Medical Group, Pllc | Internal Medicine | 4160 Medical Park Dr., Suite 107, Lenoir City, TN 37772 | 2013-06-03 |
| 1417080896 | Wendy L Taylor | Nurse Practitioner | 125 East Town Creek Rd., Suite 2b, Lenoir City, TN 37772 | 2007-03-14 |
| 1639213796 | Generations Obgyn,p.c. | Specialist | 576 Ft. Loudoun Profesional Bldg, Suite 207, Lenoir City, TN 37772 | 2007-02-20 |
| 1366584104 | Mary Louise Mortimer | Internal Medicine | 2771 Hwy 11 East, Suite 5, Lenoir City, TN 37772 | 2007-02-12 |
| 1366501892 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 802 Hall St, Ste 4, Lenoir City, TN 37772 | 2006-12-08 |
| 1093890733 | Howard Gene Holmes | Internal Medicine | 460 Medical Park Dr., Suite 102, Lenoir City, TN 37772 | 2006-10-25 |
| Find all providers in zip 37772 | ||||
| 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 |
|---|---|---|---|---|
| 1225641319 | Keri Rebecca Bell | Licensed Practical Nurse | 501 Adesa Blvd, Lenoir City, TN 37771-6725 | 2020-08-28 |
| 1598275182 | Margaret Mary Sellers | Licensed Practical Nurse | 501 Adesa Blvd Ste A150, Lenoir City, TN 37771-6719 | 2017-10-09 |
| 1427567015 | Valerie Anne Millard | Licensed Practical Nurse | 501 Adesa Blvd Ste A150, Lenoir City, TN 37771-6719 | 2017-09-26 |
| 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 | LENOIR CITY |
| Zip Code | 37772 |
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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.