ELAINE LENORE ENSIGN (NPI# 1104896885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104896885 |
| Entity Type | Individual |
| Full Name | ELAINE LENORE ENSIGN |
| Credential | PHD |
| Practice Address |
1002 Bradford Way Kingston TN 37763 |
| Practice Telephone | 8653761585 |
| Practice Fax Number | 8653761587 |
| Mailing Telephone | 8653761585 |
| Mailing Fax Number | 8653761587 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P1360 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 0113007 | 01 |
| TN | 3682131 | 05 |
| Street Address |
1002 BRADFORD WAY |
| City | KINGSTON |
| State | TN |
| Zip Code | 37763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497725964 | Elizabeth Turner | Social Worker | 1002 Bradford Way, Kingston, TN 37763 | 2006-01-25 |
| 1053610535 | Belinda Leventhal | Counselor | 1002 Bradford Way, Kingston, TN 37663-3100 | 2011-03-23 |
| 1013158864 | Jan Hendrick Lewis | Social Worker | 1002 Bradford Way, Kingston, TN 37763-3100 | 2009-03-07 |
| 1144349416 | Claude J Robinson Jr. | Counselor | 1002 Bradford Way, Kingston, TN 37763-3100 | 2007-03-28 |
| 1417090838 | Robert Keith Albiston | Psychologist | 1002 Bradford Way, Kingston, TN 37763-3100 | 2007-02-15 |
| 1649240904 | Judith A Allston | Social Worker | 1002 Bradford Way, Kingston, TN 37763-3100 | 2006-01-26 |
| 1851361547 | Sharon L Bryant | Psychologist | 1002 Bradford Way, Kingston, TN 37763 | 2006-01-25 |
| 1720058407 | Robert Keith Albiston | Psychologist | 1002 Bradford Way, Kingston, TN 37763 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124445937 | Jessica Shea Kirkland | Physical Therapist | 629 Gallher Rd, Kingston, TN 37763 | 2014-03-19 |
| 1639328529 | Kenneth P Fus | Pharmacist | 106 W. Race Street, Kingston, TN 37763 | 2008-09-16 |
| 1558580266 | Total Mobility Inc | Durable Medical Equipment & Medical Supplies | 2644 Decatur Hwy, Kingston, TN 37763 | 2007-04-24 |
| 1699824789 | James David Walmsley Jr. | Dentist | 1011 Waterford Pl, Kingston, TN 37763 | 2007-01-09 |
| 1689618886 | William Joseph Roberts | General Practice | 1445 Kingston Way, Kingston, TN 37763 | 2006-06-16 |
| 1851356851 | Larry D Ladd | Physical Therapist | 100 E Race St, A, Kingston, TN 37763 | 2006-04-20 |
| 1073064309 | Elizabeth Jennings Ivey | Counselor | 508 N Kentucky St Ste 4, Kingston, TN 37763 | 2016-10-21 |
| 1982966966 | Megan H Chapman | Physician Assistant | 933 W Race St, Kingston, TN 37763 | 2012-06-14 |
| 1568609220 | Michelle Carr | Occupational Therapist | 187 Gallaher Rd, Kingston, TN 37763 | 2009-01-15 |
| 1912405879 | Megan Noelle Mccarroll | Physician Assistant | 611 Lakeshore Dr, Kingston, TN 37763-2033 | 2018-01-25 |
| Find all providers in zip 37763 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104390525 | Boodah, Inc | Psychologist | 161 Summer St Ste 5, Kingston, MA 02364-1275 | 2019-01-18 |
| 1275978934 | Mid Hudson Psychological Services Pllc | Psychologist | 54 Lucas Ave, Kingston, NY 12401-3710 | 2013-05-07 |
| 1699939397 | Andrea K Henry | Psychologist | 45 Birch St, 20f, Kingston, NY 12401-1000 | 2008-07-11 |
| 1730376849 | Jennifer Lee | Psychologist | 14 Pearl St, Kingston, NY 12401-0522 | 2007-10-02 |
| 1811191414 | Theresa Keane | Psychologist | 185 Green St, Suite 2, Kingston, NY 12401-3716 | 2007-06-14 |
| 1639392327 | Robert Nicholson Eckardt Jr. | Psychologist | 4446 Rt 27, Kingston, NJ 08528 | 2007-04-11 |
| 1902969504 | Wilson Ellis Meaders | Psychologist | 93 Wall St, Pine Street Counseling Center, Kingston, NY 12401 | 2006-12-18 |
| 1700978277 | Dale Edward Vangaasbeek | Psychologist | 227 Linderman Ave, Kingston, NY 12401-5343 | 2006-09-29 |
| 1083724686 | Kate Maria Dvorkin | Psychologist | 291 Wall St Ste 2a, Kingston, NY 12401-3849 | 2006-08-30 |
| 1134164072 | Safieh Ghods-kash | Psychologist | 139 Cornell St, Kingston, NY 12401-3633 | 2006-06-17 |
| Find all providers in KINGSTON | ||||
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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.