CAROLYN BRYANT EVERLEY (NPI# 1184669764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184669764 |
Entity Type | Individual |
Full Name | CAROLYN BRYANT EVERLEY |
Credential | LCSW |
Practice Address |
401 E Main St Johnson City TN 37601-4877 |
Mailing Address |
1006 Tulip St Johnson City TN 37601-2118 |
Practice Telephone | 4232831023 |
Mailing Telephone | 4239280908 |
Enumeration Date | 2006-06-18 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
1162 | TN | Behavioral Health & Social Service Providers |
Street Address |
401 E MAIN ST |
City | JOHNSON CITY |
State | TN |
Zip Code | 37601-4877 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578566824 | Bendik Clark | Family Medicine | 401 E Main St, Johnson City, TN 37601-4877 | 2005-05-31 |
1205437647 | Reazyn Demoss | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2020-11-03 |
1396386165 | Michelle Elizabeth Jenkins | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2019-10-03 |
1427529551 | Kayla Beining | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2018-12-16 |
1205357977 | Joshua William Buck | Nurse Practitioner | 401 E Main St, Johnson City, TN 37604-5747 | 2017-07-03 |
1063962959 | Olivia Mckayla Barnett | Occupational Therapy Assistant | 401 E Main St, Johnson City, TN 37601-4877 | 2016-10-04 |
1194274563 | Sharon Trager | Occupational Therapist | 401 E Main St, Johnson City, TN 37601-4877 | 2016-09-27 |
1255789889 | Myra Hale | Family Medicine | 401 E Main St, Johnson City, TN 37601-4877 | 2016-05-24 |
1689032666 | Lindsay Alexis Cox | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601 | 2016-02-04 |
1417320953 | Deanna Hensley | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2015-11-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
Find all providers in zip 37601 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265083125 | Adam Blake Mccloud | Counselor | 609 Hamilton St, Johnson City, TN 37604-5403 | 2019-09-23 |
1225542020 | Andrew James Baker | Counselor | 926 W Oakland Ave Ste 202, Johnson City, TN 37604-1445 | 2017-12-01 |
1013434828 | The Journey Center for Healing Arts, Pllc | Counselor | 2700 S Roan St Ste 435, Johnson City, TN 37601-7587 | 2017-08-23 |
1215396916 | Marissa Jordan | Counselor | 268 Christian Church Rd Ste 2, Johnson City, TN 37615-4484 | 2016-02-23 |
1871977488 | Joshua Nickels | Counselor | 780 Harry L Dr, Johnson City, NY 13790-1036 | 2015-07-13 |
1700287810 | Jennifer Stuart Miller | Counselor | 3915 Bristol Hwy Ste 101, Johnson City, TN 37601-1400 | 2014-09-08 |
1740447556 | Joseph Carter Johnston II | Counselor | 2700 South Roan Street, Suite 205, Johnson City, TN 37601 | 2008-05-20 |
1962616318 | William Edward Stanley | Counselor | 1206 E 9th Ave, Johnson City, TN 37601-3426 | 2007-05-09 |
1548302581 | Charles Alan Banner | Counselor | 3950 Bristol Hwy, Johnson City, TN 37601-1378 | 2007-02-13 |
1124160007 | Alanna Anne Marie Wendt | Counselor | 3915 Bristol Hwy., Suite 202, Johnson City, TN 37601-1400 | 2007-02-13 |
Find all providers in JOHNSON CITY |
City | JOHNSON CITY |
Zip Code | 37601 |
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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.