KEZIA ELIZABETH WYATT (NPI# 1235771452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235771452 |
| Entity Type | Individual |
| Full Name | KEZIA ELIZABETH WYATT |
| Practice Address |
5302 Ball Camp Pike Knoxville TN 37921-3234 |
| Mailing Address |
201 W Springdale Ave Knoxville TN 37917-5158 |
| Practice Telephone | 8656379711 |
| Mailing Telephone | 8656379711 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
5302 BALL CAMP PIKE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37921-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962467464 | Jamie Ogle | Social Worker | 5302 Ball Camp Pike, Knoxville, TN 37921 | 2006-04-18 |
| 1417562745 | Angela Deniece Perry | Licensed Practical Nurse | 5302 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-09-14 |
| 1477166080 | Danielle Iuspa | Case Manager/Care Coordinator | 5302 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-08-25 |
| 1477162063 | Emily Lura Mcconnell | Case Manager/Care Coordinator | 5302 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-07-29 |
| 1407472384 | Tiffany Nicole Lyles | Case Manager/Care Coordinator | 5302 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-06-17 |
| 1346864717 | Cetera Davis | Licensed Practical Nurse | 5302 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-06-02 |
| 1538782479 | Hannah Ruth Nelson | Technician, Health Information | 5302 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-05-27 |
| 1356964290 | Kayla Hartman | Registered Nurse | 5302 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-05-27 |
| 1902426810 | Jennifer Collins Martin | Registered Nurse | 5302 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-04-21 |
| 1255978193 | Kara Marie Burgess | Counselor | 5302 Ball Camp Pike, Knoxville, TN 37921-3234 | 2019-12-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425366 | Marissa Michelle Sharp | Home Health Aide | 6224 Western Avenue, Knoxville, TN 37921 | 2020-04-15 |
| 1245860352 | Keshyra Paulsha Robinson | Nurse's Aide | 1754 Texas Avenue, Knoxville, TN 37921 | 2020-01-17 |
| 1700435443 | Velissa Ann Caffey | Licensed Practical Nurse | 5203 Ball Camp Pk, Knoxville, TN 37921 | 2019-09-05 |
| 1720551641 | Lindsey Michelle Yarnell | Behavior Technician | 5203 Ball Camp Pike, Knoxville, TN 37921 | 2019-01-03 |
| 1205354255 | Kylee Blair Dick | Case Manager/Care Coordinator | 600 Arthur Street, Knoxville, TN 37921 | 2017-08-30 |
| 1134658230 | Nicole Elaine Roberts | Pharmacist | 3588 Workman Rd Suite 101, Knoxville, TN 37921 | 2017-06-12 |
| 1710312053 | Megan Marie Pfeifer | Counselor | 626 Bernard Avenue, Knoxville, TN 37921 | 2013-09-05 |
| 1366601775 | Drd Management, Inc | Counselor | 412 Citico, Knoxville, TN 37921 | 2008-06-02 |
| 1457521320 | Tamara Flowers | Advanced Practice Midwife | 1925 B Ailor Avenue, Knoxville, TN 37921 | 2008-03-07 |
| 1790823722 | Oxygen and Sleep Associates, Inc. | Durable Medical Equipment & Medical Supplies | 1701 Louisville Dr, Ste. 107, Knoxville, TN 37921 | 2007-02-02 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727815 | Abbey Nicole Reeves | Counselor | 2455 Sutherland Ave Bldg F, Knoxville, TN 37919-2355 | 2020-07-08 |
| 1932732435 | Todd M Davis | Counselor | 5104 Beaver Dam Ln, Knoxville, TN 37931-3688 | 2020-02-13 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1578020566 | Talia Lee Mccarty | Counselor | 2455 Sutherland Ave Bldg A, Knoxville, TN 37919-2355 | 2019-02-26 |
| 1932679065 | Edna Booker | Counselor | 3213 River Maple Way Apt 307, Knoxville, TN 37914-6374 | 2018-12-02 |
| 1881183408 | Sarah Leeann Mcmahan I | Counselor | 5310 Ball Camp Pike # 76, Knoxville, TN 37921-3234 | 2018-05-09 |
| 1346765104 | Melanie Beth Hasson | Counselor | 9041 Executive Park Dr Ste Office17, Knoxville, TN 37923-4621 | 2017-08-13 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1447607775 | Lisa Marie Jones | Counselor | 123 Center Park Dr Ste 106, Knoxville, TN 37922-2168 | 2016-05-17 |
| 1629498209 | Jacob David Smith | Counselor | 3932 W Martin Mill Pike, Knoxville, TN 37920-2457 | 2014-04-22 |
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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.