MICHELLE FAST (NPI# 1114358108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114358108 |
| Entity Type | Individual |
| Full Name | MICHELLE FAST |
| Credential | ED.S |
| Practice Address |
205 Oak Grove Rd Madisonville TN 37354-5930 |
| Practice Telephone | 4234425592 |
| Mailing Telephone | 4234425592 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2014-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
593740 | TN | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
266910 | SC | Behavioral Health & Social Service Providers |
| Street Address |
205 OAK GROVE RD |
| City | MADISONVILLE |
| State | TN |
| Zip Code | 37354-5930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487043568 | Tracy Andel | Registered Nurse | 3469 North Highway 68, Madisonville, TN 37354 | 2015-01-13 |
| 1053454876 | Tennie Clarice Lewis | Registered Nurse | 3439 New Hwy 68, Madisonville, TN 37354 | 2007-02-14 |
| 1669527230 | State of Tennessee | Clinic/Center | 3469 New Highway 68, Madisonville, TN 37354 | 2007-01-24 |
| 1306801907 | East Tennessee Health Care Inc | Skilled Nursing Facility | 465 Isbill Rd, Madisonville, TN 37354 | 2006-04-18 |
| 1386609956 | Tamela K King | Social Worker | 520 Cook Street, Madisonville, TN 37354 | 2006-04-18 |
| 1710958129 | Gary Lee Fields | Chiropractor | 4900 New Hwy 68, Madisonville, TN 37354 | 2006-02-01 |
| 1720086929 | Mitzi Suzanne Mcbride | Social Worker | 119 Pedigo Road, Suite F, Madisonville, TN 37354 | 2005-07-12 |
| 1437601036 | Starla Swaney | Nurse Practitioner | 167 Warren St, Madisonville, TN 37354 | 2016-10-30 |
| 1144610304 | Laura Jo Vacheresse | Social Worker | 4798 New Highway 68, Madisonville, TN 37354 | 2015-01-27 |
| 1205122587 | Linda W Boyatt | Nurse Practitioner | 4233 Highway 411, Madisonville, TN 37354 | 2011-06-24 |
| Find all providers in zip 37354 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938076 | Ashley Young | Psychologist | 128 Farmbrook Ct, Murfreesboro, TN 37128-2995 | 2020-06-26 |
| 1366061467 | Polly Palmer | Psychologist | 925 Granada Ave, Nashville, TN 37206-3425 | 2020-04-09 |
| 1093362733 | Janita Rhodes | Psychologist | 35 Williamson Rd, Denmark, TN 38391-1828 | 2019-08-19 |
| 1922504901 | Vincent Scott Hooper | Psychologist | 6112 Mont Richer Ave, Knoxville, TN 37918-9314 | 2018-03-30 |
| 1649792813 | Debbie Deberry | Psychologist | 133 Mecklinburg Dr, Bolivar, TN 38008-1747 | 2017-07-10 |
| 1538691605 | Rosemarie Morelan | Psychologist | 128 County Road 801, Etowah, TN 37331-5211 | 2017-03-29 |
| 1649718560 | Tera Bradley | Psychologist | 108 Stirton Rd, Nashville, TN 37210-5120 | 2017-02-11 |
| 1912445834 | Katherine Wilds Price | Psychologist | 643 Blackstone Ave, Madison, TN 37115-4103 | 2017-02-11 |
| 1821461856 | Susan D. Sasse | Psychologist | 614 Georgia Ave, Signal Mountain, TN 37377-1814 | 2015-11-13 |
| 1518307578 | Anitra Danielle Shelton-quinn | Psychologist | 2930 Airways Blvd, Memphis, TN 38116-3844 | 2013-07-04 |
| Find all providers with the same taxonomy | ||||
| City | MADISONVILLE |
| Zip Code | 37354 |
Please comment or provide details below to improve the information on MICHELLE FAST.
| 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.