DR. KENDRA RENEE WEAVER


Address: James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684
Phone: 4239261171

DR. KENDRA RENEE WEAVER (NPI# 1154355717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154355717
Entity Type Individual
Full Name DR. KENDRA RENEE WEAVER
Credential PSY.D.
Practice Address James H. Quillen/vamc
Corner of Sidney and Lamont (johnson City)
Mountain Home
TN 37684
Mailing Address 223 Mark Dr
Gray
TN 37615-3856
Practice Telephone 4239261171
Mailing Telephone 4239261171
Enumeration Date 2006-07-10
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
P0000002474 TN Behavioral Health & Social Service Providers
X 103TC0700X Psychologist
Specialization: Clinical
P0000002474 TN Behavioral Health & Social Service Providers

Office Location

Street Address JAMES H. QUILLEN/VAMC
CORNER OF SIDNEY AND LAMONT (JOHNSON CITY)
City MOUNTAIN HOME
State TN
Zip Code 37684

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336221720 Kelly Lynn Koder Audiologist James H. Quillen/vamc, Corner of Sidney & Lamont St, Mountain Home, TN 37684 2006-10-19
1982791927 John Frank Testerman IIi Physician Assistant James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37686 2006-10-10
1063433613 Evelyn Marie Reilman Dietitian, Registered James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684-4000 2006-07-21
1245255884 Richard Crane Haaser Psychiatry & Neurology James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 2006-07-13
1336173202 Sharon Kay Garris Registered Nurse James H. Quillen/vamc, Corner of Sidney and Lamont, Mountain Home, TN 37684 2006-07-10
1750315321 Judson Chase Mcgowan Orthopaedic Surgery James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 2006-07-10
1366474280 Owen D. Murnane Jr. Audiologist James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 2006-07-07
1063443760 Dianne Leslie Hansen Psychiatry & Neurology James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684 2006-07-05
1255362828 Gerald Steven Meredith Nurse Practitioner James H. Quillen/vamc, Corner of Sidney and Lamont, Mountain Home, TN 37684 2006-07-05
1831129147 Thomas Payne Massello Surgery James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37684-4000 2006-07-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235730524 Kendra Lee Thorne Psychologist Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 2020-11-04
1255930160 Maximillian Scott Crockett Optometrist James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 2020-10-21
1699393256 Joshua Thomas Spencer Pharmacist Veterans Way and Lamont St, Mountain Home, TN 37684 2020-07-10
1073140265 James Hankil Kim Student in an Organized Health Care Education/Training Program Building 52/lake Drive, Mountain Home, TN 37684 2020-03-26
1932736030 Trishna Sharma Student in an Organized Health Care Education/Training Program Building 52/lake Drive Mountain Home, Johnson City, TN 37684 2020-03-26
1508421884 Sarvatit Patel Student in an Organized Health Care Education/Training Program 52 Lake Dr, Mountain Home, TN 37684 2019-05-02
1902366024 Katelyn Cserjes Student in an Organized Health Care Education/Training Program Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 2019-03-24
1114404282 Anesa Ellen Hughes Pharmacist Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 2018-07-23
1508352287 Leon Nguyen Optometrist James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 2018-07-06
1649761750 Bahaaeldin Ibrahim Mahmoud Youssef Student in an Organized Health Care Education/Training Program Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 2018-05-24
Find all providers in zip 37684

Taxonomy Information

Taxonomy Code 103TA0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033629209 Rebecca J Reed Psychologist 3003 Riverside Dr, Jackson, TN 38301-9160 2017-10-02
1255736153 Sonya Glyn Moore Psychologist 400 W 1st North St Ste D, Morristown, TN 37814-4617 2014-11-04
1346493574 Middle Tennessee Counseling Services, Inc Psychologist 435 Park Avenue, Stallings Building, Lebanon, TN 37087-3630 2008-10-31
1871658757 Psychiatric Services of East Tennessee Psychologist 123 E Washington Ave, Athens, TN 37303 2006-12-22
1992775704 Mary Kathleen Roberson Psychologist 665 Emory Valley Rd, Ste. A, Oak Ridge, TN 37830-7762 2006-01-24
1154774941 Andrew Harper Psychologist 626 Bernard Ave, Knoxville, TN 37921-6253 2016-07-18
1548618416 Journeypure Multyspecialty Group LLC Psychologist 5080 Florence Rd, Murfreesboro, TN 37129 2016-06-01
1114356219 James Casey Psychologist 115 28th Ave N, Nashville, TN 37203-1411 2013-11-08
1386089605 Recovery Physician Group of Tennessee, LLC Psychologist 101 Lea Ave, Nashville, TN 37210-2066 2013-04-30
1275799892 Recovery Physician Group of Tennessee, LLC Psychologist 3175 Lenox Park Blvd Ste 412, Memphis, TN 38115-4256 2008-08-04
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Competitor

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City MOUNTAIN HOME
Zip Code 37684

Improve Information

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Dataset Information

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.

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