STATE OF TENNESSEE


Address: 135 Walker St, Sparta, TN 38583-1725
Phone: 9318362201

STATE OF TENNESSEE (NPI# 1811049331) 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) 1811049331
Entity Type Organization
Organization Name STATE OF TENNESSEE
Practice Address 135 Walker St
Sparta
TN 38583-1725
Mailing Address 1100 England Drive
Cookeville
TN 38501-0924
Practice Telephone 9318362201
Practice Fax Number 9318363580
Mailing Telephone 9315204201
Mailing Fax Number 9315203871
Enumeration Date 2007-01-17
Last Update Date 2018-02-23
Authorized Official Name DR. DONALD W. GRISHAM (HEALTH OFFICER / MEDICAL DIRECTOR)
Authorized Official Telephone 9315204203
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare TN Agencies

Other Provider Identifier

State Issuer Identifier Type Code
TN 444-7873 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417337056 State of Tennessee Physical Therapist 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 2015-06-08
1023412020 State of Tennessee Intermediate Care Facility, Mentally Retarded 2324 Asheville Highway, Greeneville, TN 37743 2014-10-20
1871997163 State of Tennessee Intermediate Care Facility, Mentally Retarded 803 Redbud Dr, Greeneville, TN 37743-6141 2014-10-15
1437552536 State of Tennessee Intermediate Care Facility, Mentally Retarded 645 Rambo Road, Greeneville, TN 37743 2014-10-02
1114330545 State of Tennessee Occupational Therapist 301 Stewarts Ferry Pike, Didd Middle Tn Seating and Positioning Clinic, Nashville, TN 37214-3340 2014-06-03
1356770531 State of Tennessee Public Health or Welfare 1660 Silverado Ct, Sevierville, TN 37876-4426 2013-11-07
1699104885 State of Tennessee Public Health or Welfare 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 2013-11-07
1780958454 State of Tennessee Intermediate Care Facility, Mentally Retarded 2497 Buckingham Rd., Greeneville, TN 37743 2012-02-28
1629342415 State of Tennessee Intermediate Care Facility, Mentally Retarded 102 Dyer St., Greeneville, TN 37743 2012-02-27
1639443419 State of Tennessee Intermediate Care Facility, Mentally Retarded 2499 Buckingham Rd., Greeneville, TN 37745 2012-02-27

Office Location

Street Address 135 WALKER ST
City SPARTA
State TN
Zip Code 38583-1725

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881220333 Crystal Marie Prall Registered Nurse 135 Walker St, Sparta, TN 38583-1725 2020-03-17
1255978375 Chelsea D Mathieu Registered Nurse 135 Walker St, Sparta, TN 38583-1725 2019-12-09
1174085443 Kathryn Kowalski Nurse Practitioner 135 Walker St, Sparta, TN 38583-1725 2019-04-04
1447735311 Nikki Realin Nurse Practitioner 135 Walker St, Sparta, TN 38583-1725 2018-09-26
1316438047 Ginny Caudle Registered Nurse 135 Walker St, Sparta, TN 38583-1725 2018-05-29
1740797448 Kendra L Oliver Licensed Practical Nurse 135 Walker St, Sparta, TN 38583-1725 2018-01-03
1124471818 Kathy Qualls Licensed Practical Nurse 135 Walker St, Sparta, TN 38583-1725 2016-07-18
1609251099 Regan Stewart Registered Nurse 135 Walker St, Sparta, TN 38583-1725 2015-07-27
1023374634 Molly Ann Kimmell Registered Nurse 135 Walker St, Sparta, TN 38583-1725 2012-04-09
1447473491 Kendra Lynn Jared Registered Nurse 135 Walker St, Sparta, TN 38583-1725 2007-04-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538769047 Results-ast Jv, LLC Physical Therapist 421 Sewell Road, Sparta, TN 38583 2020-10-26
1588282917 Rock House Medical Supply, LLC Durable Medical Equipment & Medical Supplies 25 N Spring St, Sparta, TN 38583 2020-07-13
1881215333 Nancy Marie Rutherford Physical Therapist 421 Sewell Drive, Sparta, TN 38583 2020-05-06
1942798210 Oscar Dale Sims Pharmacist 202 Sam Walton Drive, Sparta, TN 38583 2018-04-23
1932622644 Medicherla Shyam Sunder Kumar Internal Medicine 401 Sewell Road, Sparta, TN 38583 2017-07-25
1972852341 Jtp Enterprises, LLC Clinic/Center 287 Turntable Rd., Sparta, TN 38583 2012-08-31
1154619898 Abbie Howell Pharmacist 460 West Bockman Way, Sparta, TN 38583 2011-07-15
1164556759 Leslie Ann Reagan Pharmacist 207 West Town Plaza, Sparta, TN 38583 2007-03-15
1497809875 Waymon Haston Dentist 9-a Hampton Drive, Sparta, TN 38583 2007-01-22
1407920127 Jeffry Alan Belknap Internal Medicine 809 W Bockman Way, Sparta, TN 38583 2006-11-17
Find all providers in zip 38583

Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538270814 Appalachian District Health Department Public Health or Welfare 157 Health Services Rd, Sparta, NC 28675-3000 2006-08-31
1760490296 County of Hancock Health Department Public Health or Welfare 451-a Boland St., Sparta, GA 31087 2006-08-03
1780729897 Appalachian District Health Department Public Health or Welfare 157 Health Services Rd, Sparta, NC 28675-3000 2007-02-20
1053377804 New River Mental Health Center Public Health or Welfare 1650 Hwy 18 South, Sparta, NC 28675-8478 2006-04-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265054068 Serious Healthcare Corporation Public Health or Welfare 100 Cherokee Blvd Ste 2010, Chattanooga, TN 37405-3864 2020-05-14
1477017150 Christopher Todd Crouse Public Health or Welfare 963 Promenade Dr, Adams, TN 37010-1400 2019-01-26
1184195612 Management Solutions LLC Public Health or Welfare 2202 Award Winning Way Ste 201, Knoxville, TN 37932-1992 2018-12-10
1144739764 Roots Healthcare and Homes, LLC Public Health or Welfare 1150 Saunders Ave, Memphis, TN 38127-5229 2017-09-26
1285155150 Helping Hands of Middle & West Tennessee Public Health or Welfare 1408 N Highland Ave Ste 100, Jackson, TN 38301-3450 2017-06-30
1881068757 Alcoa Fire Department Public Health or Welfare 2010 N Wright Rd, Alcoa, TN 37701-3804 2015-11-16
1124494059 Tennessee Department of Children's Services Public Health or Welfare 436 6th Ave N, Nashville, TN 37243-9004 2015-08-14
1477975654 Mull Foundation Public Health or Welfare 6796 Blue Lake Ln, Memphis, TN 38141-0582 2014-01-07
1356770531 State of Tennessee Public Health or Welfare 1660 Silverado Ct, Sevierville, TN 37876-4426 2013-11-07
1699104885 State of Tennessee Public Health or Welfare 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 2013-11-07
Find all providers with the same taxonomy

Competitor

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City SPARTA
Zip Code 38583

Improve Information

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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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