TYRONDA WILKERSON (NPI# 1992184634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992184634 |
| Entity Type | Individual |
| Full Name | TYRONDA WILKERSON |
| Practice Address |
621 Memorial Dr Apt 1903 Chattanooga TN 37415-5528 |
| Mailing Address |
621 Memorial Dr 1903 Chattanooga TN 37415-5521 |
| Practice Telephone | 4239334041 |
| Mailing Telephone | 4239334041 |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2016-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
621 MEMORIAL DR APT 1903 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37415-5528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940472 | Christina Goosey | Physical Therapist | 2158 Northgate Park, #200, Chattanooga, TN 37415 | 2019-03-12 |
| 1073046561 | Cynthia Groves | Student in an Organized Health Care Education/Training Program | 706 Tiger Lily Trl, Chattanooga, TN 37415 | 2017-04-11 |
| 1811358781 | Bisscom Consulting and Services | Social Worker | 2021 Ashmore Ave, Chattanooga, TN 37415 | 2016-03-18 |
| 1700241783 | Megan D. Vonwerssowetz | Nurse Practitioner | 3905 Hixson Pike, Suite 103, Chattanooga, TN 37415 | 2015-12-17 |
| 1457748501 | Jon Caleb Hildebrand | Ophthalmology | 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 | 2015-04-15 |
| 1699044487 | Constance Chamberlain Wise | Dentist | 4300 Dayton Blvd, Chattanooga, TN 37415 | 2011-12-22 |
| 1033403969 | Stephen Denney Muller | Counselor | 2120 Northgate Pk Ln Ste 201, New Beginnings Counseling Center, Chattanooga, TN 37415 | 2011-06-08 |
| 1619115938 | Connie Elizabeth Fesmire | Registered Nurse | 3119 Reflecting Drive, Chattanooga, TN 37415 | 2009-01-23 |
| 1205972395 | Ella Grace Ford | Social Worker | 2120 Northgate Park Ln Ste 201, Chattanooga, TN 37415 | 2007-01-29 |
| 1639224249 | Chattanooga Hamilton County Hospital Authority | General Acute Care Hospital | 632 Morrison Spring Road, Chattanooga, TN 37415 | 2007-01-24 |
| Find all providers in zip 37415 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1609398312 | Advanced Behavioral-emotional Care Services, LLC. | Community/Behavioral Health | 200 W Ml King Blvd Ste 1000, Chattanooga, TN 37402-2571 | 2017-07-13 |
| 1316343650 | Caring Hands & Open Hearts, LLC | Community/Behavioral Health | 5751 Uptain Rd Ste 105, Chattanooga, TN 37411-5671 | 2014-11-14 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1467708594 | Ctr. for Individ. & Family Effectiveness | Community/Behavioral Health | 2441 Broad St., Ste. 150, Chattanooga, TN 37408 | 2012-07-26 |
| 1609196799 | Hamilton County Health Dept | Community/Behavioral Health | 921 E Third St, Chattanooga, TN 37403 | 2010-06-11 |
| 1912134057 | Fortwood Center, Inc. | Community/Behavioral Health | 1400 Bailey Ave, Chattanooga, TN 37404-2903 | 2009-06-16 |
| 1881821056 | Fortwood Center, Inc. | Community/Behavioral Health | 1411 Bailey Ave, Chattanooga, TN 37404-2904 | 2009-06-16 |
| 1366679409 | Fortwood Center, Inc. | Community/Behavioral Health | 1508 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2009-06-16 |
| 1457588592 | Fortwood Center, Inc. | Community/Behavioral Health | 1510 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2009-06-16 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37415 |
Please comment or provide details below to improve the information on TYRONDA WILKERSON.
| 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.