SUPRIYA KOHLI (NPI# 1194019570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194019570 |
| Entity Type | Individual |
| Full Name | SUPRIYA KOHLI |
| Credential | M.D. |
| Practice Address |
1 Medical Center Blvd Suite 103 Cookeville TN 38501-4294 |
| Mailing Address |
230 Lexington Green Cir Ste 600 Lexington KY 40503-3326 |
| Practice Telephone | 9317832770 |
| Practice Fax Number | 9315251176 |
| Mailing Telephone | 8599714695 |
| Mailing Fax Number | 8599714604 |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
52489 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 6060965 | 01 |
| TN | 7100421860 | 05 | |
| TN | Q020404 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 406 N Whitney Ave Ste 3, Cookeville, TN 385014243 | 9317834901 | 9317834901 |
| Street Address |
1 MEDICAL CENTER BLVD SUITE 103 |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596999 | Christopher J Klugewicz | Internal Medicine | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2005-05-23 |
| 1619580016 | Sheldon Hitchcock | Pharmacist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2020-08-25 |
| 1174140008 | William Timothy Wilson | Registered Nurse | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2020-06-26 |
| 1689294233 | Kayltin Ray | Respiratory Therapist, Registered | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2020-04-23 |
| 1508499443 | Josh Brindley | Nurse Practitioner | 1 Medical Center Blvd, 5 West, Cookeville, TN 38501-4294 | 2020-02-19 |
| 1932747714 | Larry Darnell Calender | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-12-12 |
| 1346882719 | Sharon Marie Rodgers | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-10-17 |
| 1902451974 | Mason Mercedes Anderson | Occupational Therapy Assistant | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-08-07 |
| 1679138747 | Jessica Some | Pharmacist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-05-04 |
| 1962967273 | Rachel Adams | Occupational Therapist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831369941 | Neurology & Psychiatry Associates, Pllc | Psychiatry & Neurology | 315 N Washington Ave Ste 204, Cookeville, TN 38501-2660 | 2008-03-04 |
| 1629068994 | Daniel H Donovan | Psychiatry & Neurology | 105 Cherry Ave, Cookeville, TN 38501-2521 | 2005-10-26 |
| 1104435353 | Stephanie Marie Smith | Psychiatry & Neurology | 105 Cherry Ave, Cookeville, TN 38501-2521 | 2020-07-23 |
| 1023424306 | Gustavo Silveira E Silva | Psychiatry & Neurology | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2014-07-07 |
| 1851654198 | Mark Tedford | Psychiatry & Neurology | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2012-06-21 |
| 1417182304 | Ronak Jani | Psychiatry & Neurology | 145 W 4th St, Suite 201, Cookeville, TN 38501-2447 | 2009-05-20 |
| 1871629931 | Lanny Jay Turkewitz | Psychiatry & Neurology | 1 Medical Center Blvd, Suite 103, Cookeville, TN 38501-4294 | 2007-02-25 |
| 1669406500 | Randy A Gaw | Psychiatry & Neurology | 128 N Whitney Ave, Cookeville, TN 38501-2493 | 2006-07-10 |
| 1174550040 | Dalia Miller | Psychiatry & Neurology | 1 Medical Center Blvd, Suite 103, Cookeville, TN 38501-4294 | 2006-06-27 |
| 1750357042 | Jacqueline Rose Ansell | Psychiatry & Neurology | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2006-02-27 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on SUPRIYA KOHLI.
| 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.