WELLMONT HEALTH SYSTEM, INC (NPI# 1902887680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902887680 |
| Entity Type | Organization |
| Organization Name | WELLMONT HEALTH SYSTEM, INC |
| Other Organization Name | WELLMONT BRISTOL REGIONAL MEDICAL CENTER HOME HEALTH |
| Practice Address |
240 Medical Park Blvd Suite 2600 Bristol TN 37620-7346 |
| Practice Telephone | 4238445530 |
| Mailing Telephone | 4238445530 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CAROL J KAWCHAK (INTERIM DIRECTOR) |
| Authorized Official Telephone | 4232308475 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 0000000248 | TN | Agencies |
| Other Name | Type Code |
|---|---|
| Wellmont Bristol Regional Medical Center Home Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972584092 | Wellmont Health System, Inc | Home Health | 2971 Fort Henry Dr, Kingsport, TN 37664-4005 | 2005-11-07 |
| 1982634440 | Wellmont Health System, Inc | Emergency Medicine | 130 W Ravine Rd, Kingsport, TN 37662 | 2006-07-03 |
| Street Address |
240 MEDICAL PARK BLVD SUITE 2600 |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-7346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364620 | Tammy Monk | Nurse Practitioner | 240 Medical Park Blvd, Ste 3600, Bristol, TN 37620-7346 | 2005-05-23 |
| 1295381895 | Taylor White | Specialist/Technologist | 240 Medical Park Blvd, Bristol, TN 37620-7346 | 2019-08-11 |
| 1295176196 | Sarah Ann Ferguson | Nurse Practitioner | 240 Medical Park Blvd, Ste 3600, Bristol, TN 37620-7346 | 2013-07-09 |
| 1164765871 | Cassie Brooks Hudson | Pediatrics | 240 Medical Park Blvd, Ste 3600, Bristol, TN 37620-7346 | 2013-04-01 |
| 1598008542 | Jennifer Phemister | Internal Medicine | 240 Medical Park Blvd, Bristol, TN 37620-7346 | 2013-03-28 |
| 1518253392 | Jamie Weaver Lowe | Audiologist | 240 Medical Park Blvd, Ste 1000, Bristol, TN 37620-7346 | 2011-06-21 |
| 1821301573 | Jessica Lynn Kennedy | Physical Therapist | 240 Medical Park Blvd, Ste 1700, Bristol, TN 37620-7346 | 2010-07-23 |
| 1295053759 | Ryan Christopher Kennedy | Internal Medicine | 240 Medical Park Blvd, Ste 3800, Bristol, TN 37620-7346 | 2010-05-08 |
| 1184940462 | Trusha Patel | Internal Medicine | 240 Medical Park Blvd, Ste 3800, Bristol, TN 37620-7346 | 2010-04-12 |
| 1508091034 | Emily O. Campbell | Family Medicine | 240 Medical Park Blvd, Ste 3600, Bristol, TN 37620-7346 | 2009-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1891346409 | Donna/peter Page | Home Health | 25 Eugene Ave, Bristol, CT 06010-7211 | 2019-09-25 |
| 1538713466 | Zaza L Kandakai | Home Health | 20 Lincoln Ave, Bristol, PA 19007-5311 | 2019-07-29 |
| 1821509613 | Sudee Home Care, LLC. | Home Health | 821 Garden St, Bristol, PA 19007-3912 | 2017-10-19 |
| 1578925905 | We C.a.r.e. Home Health Agency LLC | Home Health | 1711 Bath Rd, Bristol, PA 19007-2701 | 2016-03-24 |
| 1124323530 | Assisting Angels Medical Care Svcs, Inc. | Home Health | 1200 Veterans Hwy Ste F-8, Bristol, PA 19007-2525 | 2011-01-14 |
| 1316175722 | Lpt Enterprises, Inc | Home Health | 2409 Volunteer Pkwy Ste A, Bristol, TN 37620-6807 | 2009-06-24 |
| 1508041567 | American Home Health Care LLC | Home Health | 2681 Lee Hwy, Bristol, VA 24202-5872 | 2008-01-08 |
| 1558444638 | The Greater Bristol Visiting Nurse Association Inc | Home Health | 195 Maltay Street, Bristol, CT 06010-3817 | 2006-10-23 |
| 1811092273 | Bristol Home Care and Hospice Agency Inc | Home Health | 32 Valley St Ste D, Bristol, CT 06010-4991 | 2006-09-13 |
| Find all providers in BRISTOL | ||||
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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.