GLENDA F STOCKWELL (NPI# 1952369613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952369613 |
| Entity Type | Individual |
| Full Name | GLENDA F STOCKWELL |
| Credential | PHD |
| Practice Address |
102 E Ravine Rd Kingsport TN 37660-3814 |
| Mailing Address |
Po Box 699 Mountain Home TN 37684-0699 |
| Practice Telephone | 4232459600 |
| Practice Fax Number | 4232459634 |
| Mailing Telephone | 4232459600 |
| Mailing Fax Number | 4232459634 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PO2636 | TN | Behavioral Health & Social Service Providers |
| Street Address |
102 E RAVINE RD |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637124 | Peter B Platzer | Family Medicine | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2005-05-24 |
| 1164041869 | Monique Renesha Spears | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2020-04-13 |
| 1598393548 | Kelsey King-hook | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2020-03-27 |
| 1407483894 | Michael Saval | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2020-03-25 |
| 1235766973 | Logan Eugene Lucas | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2020-03-24 |
| 1164059085 | Rebecca Jenkins | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2020-03-23 |
| 1649834664 | Greggory Earl Watlington Jr. | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2019-04-24 |
| 1982167110 | Trask A Printz | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2019-04-14 |
| 1518420595 | Bruce Cody Winegar | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2019-04-08 |
| 1851852321 | Kiley Morgan Perethian | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2019-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058051 | Judy Mier-chairez | Psychologist | 155 Franklin Rd Ste 135, Brentwood, TN 37027-4646 | 2020-06-17 |
| 1295387868 | Jigsaw Behavioral Academy | Psychologist | 2175 Durham Ave, Memphis, TN 38127-3409 | 2019-07-12 |
| 1639331168 | Julie Ann Demarco | Psychologist | 8284 Clinton Way Ln, Cordova, TN 38018-6305 | 2008-06-26 |
| 1669633384 | Susan Kay Fuhr | Psychologist | 141 N Martinwood Rd, Your Journeys 104-7, Knoxville, TN 37923-5137 | 2008-06-25 |
| 1225208531 | Michelle Mcatee | Psychologist | 109 Holiday Ct Ste D6, Franklin, TN 37067-1311 | 2008-03-04 |
| 1598934762 | Dara T. Kline | Psychologist | 1637 Niggs Creek Rd, Oneida, TN 37841-6417 | 2008-02-21 |
| 1891975397 | Dawn M Stewart | Psychologist | 214 S Greer St, Memphis, TN 38111-3434 | 2007-11-13 |
| 1346420809 | Jeffrey Brian Smith | Psychologist | 4055 N Park Loop Ste 1000, Memphis, TN 38152-4869 | 2007-11-13 |
| 1578767208 | Karen Swoboda | Psychologist | 106 Parkland Cir, Clarksville, TN 37043-6846 | 2007-06-14 |
| 1902940349 | The Habilitation Corporation | Psychologist | 1396 Beaver Trail Dr, Cordova, TN 38016-9601 | 2007-02-19 |
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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.