KESHI HAMBLIN (NPI# 1205205002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205205002 |
| Entity Type | Individual |
| Full Name | KESHI HAMBLIN |
| Credential | RT(R) |
| Practice Address |
818 Sunset Dr Ste 102 Johnson City TN 37604-8310 |
| Practice Telephone | 8656735000 |
| Mailing Telephone | 8656735000 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers | ||
| Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
818 SUNSET DR STE 102 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-8310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346624095 | Desiree Raynor | Nurse Practitioner | 818 Sunset Dr Ste 102, Johnson City, TN 37604-8310 | 2015-07-13 |
| 1568962843 | Jennifer Stacy | Pain Medicine | 818 Sunset Dr Ste 102, Johnson City, TN 37604-8310 | 2018-02-13 |
| 1417456054 | Elyse Suzanne Mann | Registered Nurse | 818 Sunset Dr Ste 102, Johnson City, TN 37604 | 2018-02-09 |
| 1689185241 | Allison Raettig | Nurse Practitioner | 818 Sunset Dr Ste 102, Johnson City, TN 37604-8310 | 2017-10-23 |
| 1053780817 | Tiffany Lynn Rodriguez | Specialist/Technologist, Other | 818 Sunset Dr Ste 102, Johnson City, TN 37604-8310 | 2015-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710220843 | Melanie B Daniel | Radiologic Technologist | 2151 Century Ln, Johnson City, TN 37604-4469 | 2013-03-27 |
| 1801931480 | James Chad Baxter | Radiologic Technologist | 1233 Sw Ave Ext, Johnson City, TN 37604 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922483023 | Abigail Bargatze | Radiologic Technologist | 1708 Elm Run Way, Nashville, TN 37214 | 2015-07-30 |
| 1356721245 | Davin Ray Modisette | Radiologic Technologist | 18 Northland Dr, Jackson, TN 38301-3308 | 2015-06-04 |
| 1235568346 | Beata Joanna Czartoryski | Radiologic Technologist | 195 Lasalle Rd, Oak Ridge, TN 37830-8548 | 2013-11-08 |
| 1265786446 | Franklin County Diagnostics, LLC | Radiologic Technologist | 25 Veterans Dr, Decherd, TN 37324-3887 | 2012-11-09 |
| 1336499698 | Fasika Getahun Gebremariam | Radiologic Technologist | 4248 October Woods Dr, Antioch, TN 37013-4876 | 2012-09-14 |
| 1851641567 | Trinity Mobile X-ray | Radiologic Technologist | 6431 Wade Springs Rd, Murfreesboro, TN 37130-8719 | 2012-09-11 |
| 1922356021 | Jannnekee Burchett | Radiologic Technologist | 5292 Bradcliff St, Memphis, TN 38109-7504 | 2012-08-21 |
| 1265796114 | Brandon Dean Wingate | Radiologic Technologist | 323 Savannah Rdg, Murfreesboro, TN 37127-8331 | 2012-06-26 |
| 1689900474 | The Medical Matter LLC | Radiologic Technologist | 23 Gann Rd, Milan, TN 38358-6518 | 2009-10-28 |
| 1215189576 | Calvin Carter Jamel Jr. | Radiologic Technologist | 1912 Streamfield Ct, Antioch, TN 37013-5753 | 2008-10-17 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.