MARY HELEN FUQUA (NPI# 1124632831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124632831 |
| Entity Type | Individual |
| Full Name | MARY HELEN FUQUA |
| Credential | CTRS |
| Practice Address |
809 Lamont St Johnson City TN 37604-5453 |
| Mailing Address |
Po Box 4000 Mountain Home TN 37684-4000 |
| Practice Telephone | 4239261171 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003083692 | Mary Marie Fuqua | Case Manager/Care Coordinator | 1501 Breckenridge St, Owensboro, KY 42303-1054 | 2008-05-13 |
| Street Address |
809 LAMONT ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-5453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403330 | Michele Garcia | Social Worker | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-10-08 |
| 1639786486 | Carmen Michelle Meadows | Pharmacist | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-09-25 |
| 1982215430 | Isaac Matthew Shepard Weaver | Registered Nurse | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-08-10 |
| 1861012627 | Amanda Shankel | Registered Nurse | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-04-22 |
| 1689206427 | Rachel Leann Stout-cunnyngham | Nurse Practitioner | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-02-10 |
| 1134772007 | Jacqueline Nicole Mccartt | Social Worker | 809 Lamont St, Johnson City, TN 37604-5453 | 2019-07-19 |
| 1457911539 | Rebecca Holt | Pharmacist | 809 Lamont St, Johnson City, TN 37604-5453 | 2019-06-19 |
| 1891256897 | Anshuman Desai | Student in an Organized Health Care Education/Training Program | 809 Lamont St, Department of Medicine, Johnson City, TN 37604 | 2019-03-31 |
| 1851851869 | Scott Gerwe | Student in an Organized Health Care Education/Training Program | 809 Lamont St, Johnson City, TN 37604-5453 | 2019-03-25 |
| 1982176483 | Samantha D Clark | Social Worker | 809 Lamont St, Johnson City, TN 37604-5453 | 2018-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780115188 | Tam Treadway | Recreation Therapist | 50 Veterans Way, 117, Johnson City, TN 37601-4000 | 2017-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1477028983 | John J Ortiz | Recreation Therapist | 3400 Lebanon Rd # 117k, Murfreesboro, TN 37129-1392 | 2018-10-11 |
| 1003314477 | Sarah Elizabeth Howard | Recreation Therapist | 260 Glenis Drive, Veterans Recovery Center, Murfreesboro, TN 37130 | 2018-01-31 |
| 1285915884 | Brian Douglas Mcspadden | Recreation Therapist | 260 Glenis Dr, Murfreesboro, TN 37129-5102 | 2011-09-09 |
| 1407065071 | Jeanne Margaret Hastings | Recreation Therapist | 9040 Asheville Hwy, Knoxville, TN 37924-4500 | 2007-05-21 |
| 1528667938 | Mckenzie Bahl | Recreation Therapist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-10-19 |
| 1487065322 | Danielle Michael | Recreation Therapist | 3400 Lebanon Pike, Murfreesboro, TN 37129 | 2014-05-14 |
| 1588980585 | Gail Marie Bacher | Recreation Therapist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2010-04-15 |
| 1740421676 | Lisa Jo Morgan | Recreation Therapist | 1 Siskin Plz, Chattanooga, TN 37403-1306 | 2009-03-24 |
| 1588820062 | Michael Stewart | Recreation Therapist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2008-08-04 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on MARY HELEN FUQUA.
| 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.