STATE OF TENNESSEE (NPI# 1215961461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215961461 |
| Entity Type | Organization |
| Organization Name | STATE OF TENNESSEE |
| Other Organization Name | BEDFORD COUNTY HEALTH DEPARTMENT |
| Practice Address |
140 Dover St Shelbyville TN 37160-2776 |
| Practice Telephone | 9316843426 |
| Practice Fax Number | 9316845860 |
| Mailing Telephone | 9316843426 |
| Mailing Fax Number | 9316845860 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | BARBARA J WHITWELL (OFFICE SUPERVISOR) |
| Authorized Official Telephone | 9314908334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4448010 | 05 | |
| TN | BC/BS & TENNCARE SELECT | 0084027 | 01 |
| Other Name | Type Code |
|---|---|
| Bedford County Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417337056 | State of Tennessee | Physical Therapist | 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 | 2015-06-08 |
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1871997163 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 803 Redbud Dr, Greeneville, TN 37743-6141 | 2014-10-15 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1114330545 | State of Tennessee | Occupational Therapist | 301 Stewarts Ferry Pike, Didd Middle Tn Seating and Positioning Clinic, Nashville, TN 37214-3340 | 2014-06-03 |
| 1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
| 1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| Street Address |
140 DOVER ST |
| City | SHELBYVILLE |
| State | TN |
| Zip Code | 37160-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710985072 | Janis D Ebolum | Nurse Practitioner | 140 Dover St, Shelbyville, TN 37160-2776 | 2005-07-11 |
| 1093353120 | Rebecca Fetters | Registered Nurse | 140 Dover St, Shelbyville, TN 37160-2776 | 2019-12-19 |
| 1619456803 | Miguel Angel Villegas | Dietitian, Registered | 140 Dover St, Shelbyville, TN 37160-2776 | 2018-08-09 |
| 1538647094 | Ashley Michelle Wiseman | Registered Nurse | 140 Dover St, Shelbyville, TN 37160-2776 | 2018-08-06 |
| 1902303886 | Laura Underwood | Registered Nurse | 140 Dover St, Shelbyville, TN 37160-2776 | 2018-04-09 |
| 1144744384 | Elena Ruth Quinonez | Public Health or Welfare | 140 Dover St, Shelbyville, TN 37160-2776 | 2017-07-31 |
| 1730637620 | Regina Holbert | Nurse's Aide | 140 Dover St, Shelbyville, TN 37160-2776 | 2016-09-20 |
| 1598212763 | Cathine Tidwell | Nurse's Aide | 140 Dover St, Shelbyville, TN 37160-2776 | 2016-09-06 |
| 1265988729 | Noemi Leon | Dietitian, Registered | 140 Dover St, Shelbyville, TN 37160-2776 | 2016-08-25 |
| 1992164560 | Lorrie Nugent | Registered Nurse | 140 Dover St, Shelbyville, TN 37160-2776 | 2016-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821310 | Middle Tennessee Support Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 375 Uselton Road, Shelbyville, TN 37160 | 2018-05-15 |
| 1194224998 | Stephen Blake Feldhaus | Nurse Practitioner | 112 Airport Business Park Rd, Ste H, Shelbyville, TN 37160 | 2018-02-07 |
| 1285158519 | Angelique Lynn Oliver | Case Management | 604 S. Wall St., Shelbyville, TN 37160 | 2017-07-28 |
| 1215476445 | Acts of Kindness | Home Health | 213 Lane Parkway, Shelbyville, TN 37160 | 2017-02-21 |
| 1255727681 | Nancy Elizabeth Hudson | Counselor | 117 Mcgrew Street, Shelbyville, TN 37160 | 2015-04-13 |
| 1699177956 | Shelbyville Medical Group, Pllc | Family Medicine | 221 Lane Parkway, Shelbyville, TN 37160 | 2014-09-18 |
| 1154637122 | Digestive Healthcare of Central Tennessee, Pllc | Internal Medicine | 112 Airport Business Park Drive, Suite G, Shelbyville, TN 37160 | 2010-08-27 |
| 1871791293 | Frank L Jayakody Md PC | Family Medicine | 1701 North Main St, Shelbyville, TN 37160 | 2007-07-06 |
| 1871794222 | Glen Oaks, LLC | Skilled Nursing Facility | 1101 Glenoaks Rd, Shelbyville, TN 37160 | 2007-05-31 |
| 1346459385 | Chamberland Dentistry PC | Preferred Provider Organization | 1006 Colloredo Blvd, Shelbyville, TN 37160 | 2007-05-22 |
| Find all providers in zip 37160 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073061644 | North Central District Health Department | Public Health or Welfare | 100 Warriors Way, Shelbyville, KY 40065-8057 | 2016-09-13 |
| 1952761165 | North Central District Health Department | Public Health or Welfare | 728 Ginkgo Dr, Shelbyville, KY 40065-1271 | 2016-03-01 |
| 1154695039 | North Central District Health Dept. | Public Health or Welfare | 1020 Henry Clay St, Shelbyville, KY 40065-1335 | 2012-02-24 |
| 1427321397 | North Central District Health Dept | Public Health or Welfare | 801 Discovery Blvd, Shelbyville, KY 40065-9815 | 2012-02-22 |
| 1316175268 | Shelby Community Health Center | Public Health or Welfare | 1640 E State Road 44 Ste B, Shelbyville, IN 46176-4030 | 2009-06-30 |
| 1700858552 | North Central District Health Dept. | Public Health or Welfare | 615 11th St, Shelbyville, KY 40065 | 2006-02-06 |
| 1528042686 | County of Shelby | Public Health or Welfare | 1700 W South 3rd St, Shelbyville, IL 62565-9510 | 2005-12-02 |
| 1588647895 | North Central District Home Health Agency | Public Health or Welfare | 30 Main St, Shelbyville, KY 40065-1020 | 2005-11-22 |
| 1144744384 | Elena Ruth Quinonez | Public Health or Welfare | 140 Dover St, Shelbyville, TN 37160-2776 | 2017-07-31 |
| 1629371166 | Bedford County Health Department | Public Health or Welfare | 140 Dover St, Shelbyville, TN 37160-2776 | 2010-12-06 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 37160 |
Please comment or provide details below to improve the information on STATE OF TENNESSEE.
| 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.