MRS. KELLY ANN NORMAN (NPI# 1164927489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164927489 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ANN NORMAN |
| Credential | CPT |
| Practice Address |
162 Sharp and Perkins Rd Jacksboro TN 37757-2507 |
| Practice Telephone | 4235628351 |
| Mailing Telephone | 4235628351 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
J4E9Q6Z4 | TN | Technologists, Technicians & Other Technical Service Providers |
| N | 172V00000X | Community Health Worker | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4335 Maynardville Hwy, Maynardville, TN 378073623 | 8659923867 | |
| 620 Davis Dr, New Tazewell, TN 378252152 | 4236264291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851500227 | Kelly Michelle Norman | Physical Therapy Assistant | 1375 S Carrington Ln, De Pere, WI 54115-4227 | 2007-05-22 |
| 1912545880 | Kelly Norman | Behavior Technician | 2121 41st Ave, Capitola, CA 95010-2056 | 2019-12-11 |
| 1598274953 | Kelly Norman | Psychologist | 1028 Main St, Buffalo, NY 14202-1102 | 2017-09-28 |
| 1760736516 | Kelly L. Norman | Social Worker | 555 Towner St, Ypsilanti, MI 48198-5752 | 2012-11-01 |
| 1326070947 | Kelly P Norman | Obstetrics & Gynecology | 1348 Walton Way, Suite 4100, Augusta, GA 30901-5104 | 2006-07-06 |
| Street Address |
162 SHARP AND PERKINS RD |
| City | JACKSBORO |
| State | TN |
| Zip Code | 37757-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316271638 | Casey Terry | Dental Assistant | 162 Sharp and Perkins Rd, Jacksboro, TN 37757-2507 | 2009-09-21 |
| 1356743462 | Sandra Mcgill | Nurse's Aide | 162 Sharp and Perkins Rd, Jacksboro, TN 37757-2507 | 2014-09-19 |
| 1285054809 | Angela Rebecca Shears | Registered Nurse | 162 Sharp and Perkins Rd, Jacksboro, TN 37757-2507 | 2014-04-22 |
| 1033466289 | Frank Townsend Metelka | Dentist | 162 Sharp and Perkins Rd, Jacksboro, TN 37757-2507 | 2012-08-07 |
| 1780959452 | Norma B Tidwell | Nurse's Aide | 162 Sharp and Perkins Rd, Jacksboro, TN 37757-2507 | 2012-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861809642 | Samantha Ross | Physical Therapy Assistant | 272 Gardner Lane, Jacksboro, TN 37757 | 2014-07-14 |
| 1225348493 | Summit Medical Group, Pllc | Internal Medicine | 163 Perkins Lane, Jacksboro, TN 37757 | 2010-10-20 |
| 1518112911 | Pediatric Professionals | Specialist | 136 Mountain Perkins Lane, Suite 2, Jacksboro, TN 37757 | 2008-11-26 |
| 1992804827 | Riggs Drug Store | Pharmacy | 2636 Jacksboro Pike, Jacksboro, TN 37757 | 2006-09-21 |
| 1629536362 | Jacksboro Urgent Care | Clinic/Center | 2707 Jacksboro Pike, Suite 2, Jacksboro, TN 37757 | 2019-03-12 |
| 1942598305 | Thomas Wayne Robbins | Family Medicine | 2545 Jacksboro Pike, Jacksboro, TN 37757 | 2011-07-19 |
| 1841514155 | Margaret Reid Young | Nurse Practitioner | 136 Mountain Perkins Lane, Suite 2, Jacksboro, TN 37757 | 2010-03-16 |
| 1962540880 | State of Tennessee | Public Health or Welfare | 162 Sharp Perkins Road, Jacksboro, TN 37757 | 2007-02-02 |
| 1083868517 | Med-trans Corporation | Ambulance | 588 Memorial Lane, Jacksboro, TN 37757-0000 | 2008-11-11 |
| 1780722975 | Wanda F Tackett | Registered Nurse | 162 Sharp Perkins Road, Jacksboro, TN 37757-0418 | 2007-02-01 |
| Find all providers in zip 37757 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467837955 | Khawanda Kim Boyd | Technician, Pathology | 3838 Atwell Dr, Nashville, TN 37207-3601 | 2015-07-24 |
| 1255737169 | Nita Watkins | Technician, Pathology | 315 Lema Pl, Memphis, TN 38105-3203 | 2014-11-05 |
| 1871859934 | Shondra Nicole Reese | Technician, Pathology | 15 Lake Forest Dr, Mount Juliet, TN 37122-1345 | 2012-04-03 |
| 1033406111 | Medipharm Inc. | Technician, Pathology | 295 S Bellevue Blvd, Suite # 3, Memphis, TN 38104-7517 | 2011-07-08 |
| 1881995777 | Gregory Chapman | Technician, Pathology | 8470 Rhiannon Dr, Memphis, TN 38125-3353 | 2010-11-08 |
| 1538776059 | Kyla Michelle Taylor | Technician, Pathology | 815 W 5th North St, Morristown, TN 37814-3810 | 2020-09-29 |
| 1740826882 | Linda F Johnson | Technician, Pathology | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2019-11-25 |
| 1952951022 | Dariya Nikolaevna Rybalka | Technician, Pathology | 2018 Western Ave, Knoxville, TN 37921-5718 | 2019-09-19 |
| 1801457866 | Manal Abbas | Technician, Pathology | 2018 Western Ave, Knoxville, TN 37921-5718 | 2019-06-21 |
| 1093285314 | Elsa Nelida Martinez | Technician, Pathology | 815 W 5th North St, Morristown, TN 37814-3810 | 2018-11-29 |
| Find all providers with the same taxonomy | ||||
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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.