STEVEN MELVIN CHILDERS (NPI# 1912477357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912477357 |
| Entity Type | Individual |
| Full Name | STEVEN MELVIN CHILDERS |
| Practice Address |
1330 N Main St Tennessee Ridge TN 37178-4003 |
| Practice Telephone | 9317213312 |
| Practice Fax Number | 9317213308 |
| Mailing Telephone | 9317213312 |
| Mailing Fax Number | 9317213308 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
1330 N MAIN ST |
| City | TENNESSEE RIDGE |
| State | TN |
| Zip Code | 37178-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912035130 | Robert Mullikin | Case Manager/Care Coordinator | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2007-03-01 |
| 1205436649 | Riley A Holmes | Counselor | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2020-10-26 |
| 1598379810 | Andrea Leigh Henson | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2020-09-03 |
| 1174140065 | Olivia Faith Sims | Counselor | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2020-06-26 |
| 1184244956 | Madison Caruthers | Counselor | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2020-04-22 |
| 1316572258 | Jodi Lynn Smith | Counselor | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2020-03-11 |
| 1164084265 | Nicholas Michael Wood | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2019-06-28 |
| 1629536966 | Shelby Dority | Counselor | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2019-03-06 |
| 1548725211 | Susan Linn Woood | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2019-02-06 |
| 1861976482 | Kayla Marie Dew | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072223 | Kendel Paige Crump | Counselor | 1330 North Main Street, Tennessee Ridge, TN 37178 | 2020-04-22 |
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164084265 | Nicholas Michael Wood | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2019-06-28 |
| 1548725211 | Susan Linn Woood | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2019-02-06 |
| 1861976482 | Kayla Marie Dew | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2018-09-19 |
| 1144708066 | Martha Jeanette Murray | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2018-08-02 |
| 1083826432 | Louise Agnes Turner | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2007-05-05 |
| 1316076623 | Kimberly Marlene Dew | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2007-03-04 |
| 1730218173 | Vicki Gayle Webb | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2007-03-03 |
| 1497884001 | Patricia L Thompson | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2007-03-02 |
| 1043348634 | Jodi L Clark | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2007-03-02 |
| 1508994740 | Cindy Hinson | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2007-03-01 |
| Find all providers in TENNESSEE RIDGE | ||||
| City | TENNESSEE RIDGE |
| Zip Code | 37178 |
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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.