RAJPATI BODH-CERES (NPI# 1902204480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902204480 |
| Entity Type | Individual |
| Full Name | RAJPATI BODH-CERES |
| Credential | NP |
| Practice Address |
418 S Main St Waynesboro TN 38485-2629 |
| Mailing Address |
418 Main Street Waynesboro TN 38384-6003 |
| Practice Telephone | 7317278012 |
| Mailing Telephone | 7317278012 |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
21248 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | RN LICENSE | 461899 | 01 |
| Street Address |
418 S MAIN ST |
| City | WAYNESBORO |
| State | TN |
| Zip Code | 38485-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093370652 | Chelsea Leigh Butcher | Case Manager/Care Coordinator | 418 S Main St, Waynesboro, TN 38485-2629 | 2019-05-08 |
| 1205311370 | Laura Dygert | Case Manager/Care Coordinator | 418 S Main St, Waynesboro, TN 38485-2629 | 2018-09-25 |
| 1871980094 | Tara Anderson | Case Management | 418 S Main St, Waynesboro, TN 38485-2629 | 2015-04-26 |
| 1205242195 | Miranda Kapsalis | Community Health Worker | 418 S Main St, Waynesboro, TN 38485-2629 | 2014-07-11 |
| 1609053677 | Centerstone | Case Management | 418 S Main St, Waynesboro, TN 38485-2629 | 2008-01-22 |
| 1164550737 | Elsie Lois Thacker | Registered Nurse | 418 S Main St, Waynesboro, TN 38485-2629 | 2007-03-02 |
| 1598893133 | Erin Lyn Brewer | Case Manager/Care Coordinator | 418 S Main St, Waynesboro, TN 38485-2629 | 2007-03-02 |
| 1902934011 | Robert R. Johannes | Counselor | 418 S Main St, Waynesboro, TN 38485-2629 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760903066 | Wayne Provision | Community/Behavioral Health | 950 Andrew Jackson Drive, Waynesboro, TN 38485 | 2017-06-28 |
| 1407387772 | Nelda Prater | Counselor | 942 Andrew Jackson Dr., Waynesboro, TN 38485 | 2017-03-27 |
| 1427479328 | Tennessee Pain Management Associates | Pain Medicine | 530 Us Hwy 64, Suite 5, Waynesboro, TN 38485 | 2013-12-18 |
| 1982031415 | Donna J Casteel | Nurse Practitioner | 107 Jv Mangubat Drive, Waynesboro, TN 38485 | 2013-09-30 |
| 1316371222 | Wes Yeiser Donaldson | Physical Therapy Assistant | 183 Long Vue, Waynesboro, TN 38485 | 2013-08-27 |
| 1407096829 | Brian Paul Coggins | Physical Therapist | 514 South High St, Waynesboro, TN 38485 | 2009-02-25 |
| 1467691600 | At Home Meds, LLC | Durable Medical Equipment & Medical Supplies | 1126 B Collinwood Highway, Waynesboro, TN 38485 | 2009-02-11 |
| 1730375908 | Best Medical Inc. | Durable Medical Equipment & Medical Supplies | 905 Andrew Jackson Drive, Suite C, Waynesboro, TN 38485 | 2007-09-20 |
| 1295933661 | Air Evac Ems Inc. | Ambulance | 915 Andrew Jackson Drive, Waynesboro, TN 38485 | 2007-07-06 |
| 1871650895 | Mrh Dba Wmc | Nursing Facility/Intermediate Care Facility | 505 South High Street, Waynesboro, TN 38485 | 2007-01-02 |
| Find all providers in zip 38485 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346876620 | Momentum Behavioral Health & Wellness | Nurse Practitioner | 2014 Goose Creek Rd Ste 106b, Waynesboro, VA 22980-6588 | 2020-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972966 | Rebecca Singleton | Nurse Practitioner | 2601 N John B Dennis Hwy Apt 2318, Kingsport, TN 37660-0835 | 2020-11-03 |
| 1205434503 | Sonya Lavet Butler | Nurse Practitioner | 3413 Axelwood Dr, Murfreesboro, TN 37128-3984 | 2020-10-09 |
| 1417554361 | John Pearson Redmond | Nurse Practitioner | 1710 Ghost Creek Dr, Collierville, TN 38017-3425 | 2020-10-05 |
| 1861099061 | Justin Mccord | Nurse Practitioner | 454 Red Hill Center Rd, Lawrenceburg, TN 38464-6842 | 2020-10-01 |
| 1265049977 | Toya Owens | Nurse Practitioner | 2565 Mackinnon Dr, Memphis, TN 38119-7903 | 2020-09-26 |
| 1043827041 | Zamaria Davion Louise Gains | Nurse Practitioner | 7405 Shallowford Rd Ste 230, Chattanooga, TN 37421-7632 | 2020-09-24 |
| 1376158998 | Mary L Dean Turner | Nurse Practitioner | 6727 Stonetrace Dr, Bartlett, TN 38135-3054 | 2020-09-10 |
| 1205447794 | Sana Pathan | Nurse Practitioner | 829 S Sherbrooke Cir, Mount Carmel, TN 37645-4019 | 2020-08-10 |
| 1093325557 | Highland Behavioral Healthcare | Nurse Practitioner | 29 Taylor Ave Ste 204, Crossville, TN 38555-4537 | 2020-08-08 |
| 1225648009 | Angela R Davenport | Nurse Practitioner | 7110 Crossroads Blvd, Brentwood, TN 37027-2826 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESBORO |
| Zip Code | 38485 |
Please comment or provide details below to improve the information on RAJPATI BODH-CERES.
| 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.