FREDERICK BRONN RAYNE (NPI# 1235197245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235197245 |
| Entity Type | Individual |
| Full Name | FREDERICK BRONN RAYNE |
| Credential | MD |
| Practice Address |
100 W 4th St Suite 200 Cookeville TN 38501-2448 |
| Practice Telephone | 9315281575 |
| Practice Fax Number | 9315262962 |
| Mailing Telephone | 9315281575 |
| Mailing Fax Number | 9315262962 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 19380 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3044672 | 05 |
| Street Address |
100 W 4TH ST SUITE 200 |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895057 | Matthew Y. Faier | Nurse Anesthetist, Certified Registered | 100 W 4th St, Suite 310, Cookeville, TN 38501-2448 | 2005-07-19 |
| 1275174013 | Andrea Elizabeth Kooch | Physician Assistant | 100 W 4th St, Cookeville, TN 38501-2448 | 2019-10-02 |
| 1518348390 | Allergy Associates, Pa | Durable Medical Equipment & Medical Supplies | 100 W 4th St, Suite 250, Cookeville, TN 38501-2448 | 2015-06-17 |
| 1538568985 | John B. Averitt, Ph.d., Licensed Psychologist | Clinic/Center | 100 W 4th St, Suite 300, Cookeville, TN 38501-2448 | 2014-08-21 |
| 1932445384 | Kristina K Widdifield | Nurse Anesthetist, Certified Registered | 100 W 4th St, Ste 310, Cookeville, TN 38501-2448 | 2012-12-12 |
| 1972899722 | Karen Sue Brandt | Audiologist-Hearing Aid Fitter | 100 W 4th St, Suite 210, Cookeville, TN 38501-2448 | 2011-06-21 |
| 1720219371 | Jennie Barr Newton | Audiologist | 100 W 4th St, Suite 320, Cookeville, TN 38501-2448 | 2009-07-30 |
| 1871730804 | James E Delk | Nurse Anesthetist, Certified Registered | 100 W 4th St, Suite 310, Cookeville, TN 38501-2448 | 2009-01-13 |
| 1962664227 | Allergy Associates Pa | Specialist | 100 W 4th St, Suite 250, Cookeville, TN 38501-2448 | 2008-06-27 |
| 1295997690 | Audiology Management Services, Inc | Audiologist | 100 W 4th St, Ste 320, Cookeville, TN 38501-2448 | 2008-06-26 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992007348 | La Management Company | Specialist | 1125 Deer Creek Dr, Cookeville, TN 38501-6680 | 2010-11-17 |
| 1184892317 | Jenny Lynn Hall | Specialist | 2541 Nova Cir, Cookeville, TN 38501-5626 | 2008-02-11 |
| 1770702334 | Putnam Radiology, PC | Specialist | 315 N Washington Ave Ste 209, Cookeville, TN 38501-2660 | 2007-04-24 |
| 1568501716 | Charles R Norman | Specialist | 125 S Jefferson Ave, Cookeville, TN 38501-3424 | 2007-02-05 |
| 1124111661 | Scott A Copeland | Specialist | 203 N. Cedar Avenue, Suite A, Cookeville, TN 38501 | 2006-10-02 |
| 1982719092 | Satya Narayan Chakrabarty | Specialist | 435 N Cedar Ave, Cookeville, TN 38501-2422 | 2006-08-20 |
| 1124052972 | Steven L Clemons | Specialist | 682 Canter Ln, Cookeville, TN 38501-4523 | 2006-07-10 |
| 1265465041 | Cumberland Back Pain Clinic PC | Specialist | 480 Neal St Ste 101, Cookeville, TN 38501-4073 | 2006-07-07 |
| 1891731055 | Phillip H Lucas | Specialist | 136 East Spring Street, Cookeville, TN 38501-3208 | 2006-06-22 |
| 1508815648 | Therapy Solutions, PC | Specialist | 1683 S Jefferson Ave, Cookeville, TN 38506-2517 | 2006-05-08 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on FREDERICK BRONN RAYNE.
| 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.