AMANDA MADDOX (NPI# 1184139396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184139396 |
| Entity Type | Individual |
| Full Name | AMANDA MADDOX |
| Practice Address |
1362 N Gateway Ave Rockwood TN 37854-4108 |
| Practice Telephone | 8653541220 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
0000215042 | TN | Nursing Service Providers |
| Street Address |
1362 N GATEWAY AVE |
| City | ROCKWOOD |
| State | TN |
| Zip Code | 37854-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598747040 | Mark Anthony Johnson | Dentist | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2005-11-18 |
| 1215572706 | Allison Mckenzie Williams | Nurse Practitioner | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2019-11-08 |
| 1932767290 | Kristen Anne Halstead | Registered Nurse | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2019-06-03 |
| 1811487796 | Jenny Glenn | Dietitian, Registered | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2018-05-16 |
| 1487922332 | Billie Jo Freels | Licensed Practical Nurse | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2011-12-07 |
| 1154557957 | Beverly Dawn Watkins | Nurse Practitioner | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2009-06-08 |
| 1598967994 | Desiree Michele Jones | Registered Nurse | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2007-06-05 |
| 1528195682 | Alma Jane Johnson | Registered Nurse | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2007-02-27 |
| 1255467825 | Violetta Jane Swykert | Registered Nurse | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2007-02-26 |
| 1326173733 | Debra Ann Danielson | Registered Nurse | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2007-02-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245500917 | Assurance Professional Billing Services | Specialist | 236 Burke Mill Rd, Rockwood, TN 37854 | 2012-01-11 |
| 1639407489 | Robert Sloan Hicks Jr. | Pharmacist | 225 West Rockwood St., Live and Let Live Drug Store, Rockwood, TN 37854 | 2009-12-04 |
| 1255477741 | Janet Eldridge Isham | Licensed Practical Nurse | 1362 N. Gateway Ave, Rockwood, TN 37854 | 2007-01-30 |
| 1154439271 | James Larry Brewer | Dentist | 1124 N Gateway Ave, Rockwood, TN 37854 | 2006-08-28 |
| 1750808093 | Cynthia Dawn Clark | Nurse Practitioner | 1420 N Gateway Ave, Rockwood, TN 37854 | 2017-08-28 |
| 1568772754 | Summit Medical Group, Pllc | Internal Medicine | 1420 North Gateway Ave, Rockwood, TN 37854 | 2010-10-21 |
| 1841348547 | Darrell Eugene Cates Jr. | Dentist | 1546 Gateway Ave., Rockwood, TN 37854-0003 | 2007-01-08 |
| 1033264411 | Sherry G Hill | Pharmacist | 225 W Rockwood St, Rockwood, TN 37854-2243 | 2007-01-24 |
| 1487003455 | Live and Let Live Drug Store, Inc | Durable Medical Equipment & Medical Supplies | 225 W Rockwood St, Rockwood, TN 37854-2243 | 2016-06-09 |
| 1851434666 | Jessica Ruthanne Kilgore | Pharmacist | 225 W Rockwood St, Rockwood, TN 37854-2243 | 2007-02-14 |
| Find all providers in zip 37854 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811034846 | Linda S Hellmann | Registered Nurse | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023166 | Stephanie Blythe Korn | Registered Nurse | 9229 Fox Run Dr, Brentwood, TN 37027-7443 | 2020-08-12 |
| 1417565169 | Belinda Mcnair | Registered Nurse | 4865 Sagewood Dr, Memphis, TN 38116-7953 | 2020-07-20 |
| 1457903098 | Latonya Ivy | Registered Nurse | 50 N Dunlap St Fl 4, Memphis, TN 38103-2800 | 2019-07-14 |
| 1093280968 | Mary Elizabeth Best | Registered Nurse | 2734 Best Rd, Maryville, TN 37803-2633 | 2018-10-08 |
| 1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
| 1639668775 | Lisa Ann Brown | Registered Nurse | 168 Ekvall Ln, Dunlap, TN 37327-7731 | 2018-05-03 |
| 1710494117 | Lydia Ellen Hicks | Registered Nurse | 214 W. Longview Drive, Portland, TN 37148 | 2018-01-08 |
| 1588195549 | Rosza Branson | Registered Nurse | 1202 Laurel Bluff Rd, Kingston, TN 37763-6022 | 2017-03-22 |
| 1366984841 | Krystal Lynn Pulley | Registered Nurse | 330 Pageant Lane, Clarksville, TN 37040 | 2016-11-15 |
| 1245780451 | Chasity Jett | Registered Nurse | 1242 Knowling Loop, Talbott, TN 37877-3307 | 2016-10-12 |
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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.