STATE OF TENNESSEE (NPI# 1003090036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003090036 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE |
| Other Organization Name | SUMNER COUNTY PORTLAND CLINIC |
| Practice Address |
214 West Longview Drive Portland TN 37148 |
| Practice Telephone | 6153255237 |
| Practice Fax Number | 6153255549 |
| Mailing Telephone | 6153255237 |
| Mailing Fax Number | 6153255549 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | MRS. ANNETTE HALEY (REGIONAL DIRECTOR) |
| Authorized Official Telephone | 6156507000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1511601 | 05 |
| Other Name | Type Code |
|---|---|
| Sumner County Portland Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417337056 | State of Tennessee | Physical Therapist | 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 | 2015-06-08 |
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1871997163 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 803 Redbud Dr, Greeneville, TN 37743-6141 | 2014-10-15 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1114330545 | State of Tennessee | Occupational Therapist | 301 Stewarts Ferry Pike, Didd Middle Tn Seating and Positioning Clinic, Nashville, TN 37214-3340 | 2014-06-03 |
| 1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
| 1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| Street Address |
214 WEST LONGVIEW DRIVE |
| City | PORTLAND |
| State | TN |
| Zip Code | 37148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427608645 | Carehere LLC | Family Medicine | Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 | 2019-09-19 |
| 1710494117 | Lydia Ellen Hicks | Registered Nurse | 214 W. Longview Drive, Portland, TN 37148 | 2018-01-08 |
| 1487903696 | Jennifer Leigh Toney | Registered Nurse | 101 Maurice Ct, Portland, TN 37148 | 2012-09-04 |
| 1366712770 | Pamela Poghen | Registered Nurse | 235 Hwy 52 E, Portland, TN 37148 | 2012-01-03 |
| 1437256930 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 304 A S Broadway Ste A, Portland, TN 37148 | 2006-09-20 |
| 1568494243 | Melissa R Cook | Nurse Practitioner | 932-b South Broadway, Portland, TN 37148 | 2006-07-06 |
| 1225200306 | Lisa Nazarenus | Nurse Practitioner | 307 S Broadway, Portland, TN 37148 | 2008-03-28 |
| 1770523748 | Jason A Bruns | Physical Therapist | 121 Village Dr, 103, Portland, TN 37148 | 2006-06-07 |
| 1841350196 | Edward Freeman Kirkpatrick Jr. | Dentist | 307 Reed St, Portland, TN 37148-0410 | 2006-12-09 |
| 1134556616 | Brandy Nicole Carson | Nurse Practitioner | 201 N Broadway, Portland, TN 37148-1111 | 2013-09-30 |
| Find all providers in zip 37148 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194122721 | Community Chest Inc. | Public Health or Welfare | 1628 Ne Buffalo St, Portland, OR 97211-4718 | 2014-11-25 |
| 1144668583 | Odyssey Science Innovations | Public Health or Welfare | 7471 Sw Saint John Pl, Portland, OR 97223-4503 | 2013-06-07 |
| 1821356536 | Clackamas Service Center | Public Health or Welfare | 8800 Se 80th Ave, Portland, OR 97206-9270 | 2012-05-01 |
| 1295032647 | Community and Family Services, Inc. | Public Health or Welfare | 521 S Wayne St, Portland, IN 47371-2519 | 2011-02-22 |
| 1306146782 | Jay County Auditor Police Dept | Public Health or Welfare | 504 W Arch St, Portland, IN 47371-1317 | 2010-11-01 |
| 1932431798 | The Root Cellar | Public Health or Welfare | 94 Washington St., Portland, ME 04104 | 2010-02-04 |
| 1295881100 | The Boys & Girls Aid Society of Oregon | Public Health or Welfare | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2007-01-25 |
| 1487015442 | Christian Apostolic Community House | Public Health or Welfare | 13232 Se Stark St, Suite 4, Portland, OR 97233-1573 | 2016-03-17 |
| 1952789687 | Boys & Girls Aid | Public Health or Welfare | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2015-05-14 |
| 1922405638 | Careassist | Public Health or Welfare | 800 Ne Oregon St, Suite 1105, Portland, OR 97232 | 2014-11-24 |
| Find all providers in PORTLAND | ||||
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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.