LYNN MANDERSON (NPI# 1265947931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265947931 |
| Entity Type | Individual |
| Full Name | LYNN MANDERSON |
| Practice Address |
2424 21st Ave S Nashville TN 37212-5315 |
| Mailing Address |
21 Vaughns Gap Rd Apt 125 Nashville TN 37205-4308 |
| Practice Telephone | 6159868545 |
| Practice Fax Number | 6159868545 |
| Mailing Telephone | 6159868545 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LDC0000001010 | MA | Behavioral Health & Social Service Providers |
| Street Address |
2424 21ST AVE S |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37212-5315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568673796 | Basics and Beyond, LLC | Rehabilitation Practitioner | 2424 21st Ave S, Suite #104, Nashville, TN 37212-5315 | 2007-05-28 |
| 1275089054 | Melissa Giovanni | Dietitian, Registered | 2424 21st Ave S, Nashville, TN 37212-5315 | 2016-08-31 |
| 1689027401 | Emily Jane West | Dietitian, Registered | 2424 21st Ave S, Suite 100, Nashville, TN 37212-5315 | 2016-07-16 |
| 1770902215 | Mackenzie Reeser | Dietitian, Registered | 2424 21st Ave S, Ste 100, Nashville, TN 37212-5315 | 2014-04-14 |
| 1336565209 | Malia Chamness | Nutritionist | 2424 21st Ave S, Suite 100, Nashville, TN 37212-5315 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063204 | Nichole Sherwood | Pharmacist | 1314 24th Avenue S, Nashville, TN 37212 | 2019-09-27 |
| 1710460795 | Samantha Catherine Beretta | Counselor | 1710 17th Ave S, Nashville, TN 37212 | 2018-09-14 |
| 1417482449 | Elise Stephenson Scott | Student in an Organized Health Care Education/Training Program | 1601 21st Avenue South, Room 3106, Nashville, TN 37212 | 2017-04-27 |
| 1851848410 | Tracy Wehby | Nurse Practitioner | 2323 21st Ave S 3rd Floor, Nashville, TN 37212 | 2016-09-01 |
| 1821544578 | Lisa Malone | Acupuncturist | 1615 Horton Ave, Nashville, TN 37212 | 2016-08-31 |
| 1568836518 | Anna Ezell | Social Worker | 1414 17th Ave S, Nashville, TN 37212 | 2015-11-13 |
| 1427437789 | Ryan Castoro | Physical Medicine & Rehabilitation | 2201 Childrens Way Blvd., Suite 1318, Nashville, TN 37212 | 2015-05-20 |
| 1730567900 | Khushbu Shah | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S Rm 3106, Nashville, TN 37212 | 2015-05-08 |
| 1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
| 1992145577 | Leslie Walls Binford | Nurse Practitioner | 2021 21st Ave S Ste 410, Nashville, TN 37212 | 2013-06-27 |
| Find all providers in zip 37212 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863487 | Marleen Sylvia Mcclure | Counselor | 512 Old Hickory Blvd Apt 2817, Nashville, TN 37209-6110 | 2020-05-23 |
| 1265066674 | Margaret Karen Moran | Counselor | 45a Rutledge St, Nashville, TN 37210-2042 | 2020-02-24 |
| 1992354120 | Mike Moody | Counselor | 165 Belle Forest Cir Ste A, Nashville, TN 37221-2174 | 2019-09-10 |
| 1497300875 | Robert E Kent | Counselor | 417 Parmley Ln, Nashville, TN 37207-2614 | 2019-08-02 |
| 1306313101 | Karlton S Bolton | Counselor | 45 Rutledge St, Nashville, TN 37210-2042 | 2018-10-30 |
| 1710460795 | Samantha Catherine Beretta | Counselor | 1710 17th Ave S, Nashville, TN 37212 | 2018-09-14 |
| 1144608977 | Marisha Jackson | Counselor | 1261 Kenmore Pl, Nashville, TN 37216-3214 | 2015-05-13 |
| 1942502273 | Alcohol and Drug Council of Middle Tennessee | Counselor | 1704 Charlotte Ave, Suite 200, Nashville, TN 37203-2972 | 2010-11-18 |
| 1477785558 | Sarah Beth Rodgers | Counselor | 2621 Gallatin Pike, Nashville, TN 37216-3743 | 2009-08-21 |
| 1275719312 | Battle Enterprises, Inc | Counselor | 4100 Clarksville Pike, Nashville, TN 37218-1902 | 2008-01-19 |
| Find all providers in NASHVILLE | ||||
Please comment or provide details below to improve the information on LYNN MANDERSON.
| 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.