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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | TN | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 444-7873 | 05 |
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 |
Street Address |
135 WALKER ST |
City | SPARTA |
State | TN |
Zip Code | 38583-1725 |
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 |
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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 Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
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 |
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 |
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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.