MR. ANTONIO DEON TAYLOR (NPI# 1912273608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912273608 |
| Entity Type | Individual |
| Full Name | MR. ANTONIO DEON TAYLOR |
| Credential | LPC |
| Practice Address |
665 S Jefferson Ave Cookeville TN 38501-4011 |
| Mailing Address |
301 S Perimeter Park Dr Ste 210 Nashville TN 37211-4128 |
| Practice Telephone | 9315280051 |
| Practice Fax Number | 9315280021 |
| Mailing Telephone | (615) 726-3603 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2017-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
4020 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447778428 | Antonio Nelton Taylor | Behavior Technician | 505 Oberlin Rd, Raleigh, NC 27605-1327 | 2017-08-30 |
| Street Address |
665 S JEFFERSON AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952482549 | Holly L Robertson Rose | Nurse Practitioner | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2006-10-18 |
| 1770985855 | Rickman Powers | Nurse Practitioner | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2014-09-21 |
| 1013241207 | Shannon Kaye Beaty | Registered Nurse | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2009-09-22 |
| 1730351131 | Tanya Barrett | Counselor | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2008-03-26 |
| 1396934048 | Mark Pafford | Counselor | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2007-10-18 |
| 1578754107 | Eric Carlile | Case Manager/Care Coordinator | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2007-08-08 |
| 1053511311 | Heather Renee Petty | Case Manager/Care Coordinator | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2007-07-24 |
| 1316147689 | Sheree Fox | Case Manager/Care Coordinator | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2007-07-24 |
| 1386846236 | Elizabeth Underwood | Case Manager/Care Coordinator | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2007-06-04 |
| 1659583474 | Carla Love | Case Manager/Care Coordinator | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772555 | Kelly Marie Webb | Counselor | 448 Neal St # A, Cookeville, TN 38501-4781 | 2020-05-22 |
| 1427531706 | Tonya Katherine Stearns | Counselor | 441 E Broad St Ste H, Cookeville, TN 38501-3390 | 2018-09-12 |
| 1710477120 | Christina Deanne Dukes | Counselor | 25 W Broad St Ste 10, Cookeville, TN 38501-2584 | 2018-05-11 |
| 1578066023 | Tena Cope | Counselor | 2370 Quinland Lake Rd Ste 115, Cookeville, TN 38506-7527 | 2018-03-12 |
| 1750427522 | Roy Adam Westmoreland | Counselor | 2370 Quinland Lake Road, Suite 111, Cookeville, TN 38506 | 2007-01-29 |
| 1518014554 | Christina Lasha Mick | Counselor | 2301 Plunk Whitson Rd, Cookeville, TN 38501-6795 | 2007-01-04 |
| 1760549232 | Patricia Lee Smith | Counselor | 118 S. Dixie Ave, Suite 3, Cookeville, TN 38502 | 2007-01-03 |
| 1508832494 | H. David Chaney | Counselor | 906 Allen Ave, Cookeville, TN 38501-2626 | 2006-02-28 |
| 1891777264 | Robert Myron Ridley | Counselor | 441 E Broad St, Suite H, Cookeville, TN 38501-3389 | 2005-11-18 |
| 1104441948 | Benjamin Higgins | Counselor | 614 E 4th St, Cookeville, TN 38501-2708 | 2020-06-08 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on MR. ANTONIO DEON TAYLOR.
| 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.