SARAH HAVILAND (NPI# 1275981144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275981144 |
| Entity Type | Individual |
| Full Name | SARAH HAVILAND |
| Credential | MD |
| Practice Address |
5722 Integrity Dr # S771 Millington TN 38054-5028 |
| Practice Telephone | 9018746126 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2017-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 0101263203 | VA | Other Service Providers |
| Street Address |
5722 INTEGRITY DR # S771 |
| City | MILLINGTON |
| State | TN |
| Zip Code | 38054-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760664445 | Tonya Miller Johnson | Nurse Practitioner | 5722 Integrity Dr # S771, Millington, TN 38054-5028 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137758 | Stephanie Nicole Zuckerman | Psychologist | Intrepid Street, Bldg. S-771, Millington, TN 38054 | 2020-05-29 |
| 1992243000 | Paul Livernois | Pharmacist | S-752 Tarawa Ave, Millington, TN 38054 | 2017-02-09 |
| 1962751149 | Megan Nicole Seay Shelton | Dentist | 5722 Integrity Drive Building S-771, Millington, TN 38054 | 2012-09-05 |
| 1710208178 | Michael W Johns | Family Medicine | 5722 Intregrity Dr. Bldg. S771, Branch Medical Clinic Nsa Mid-south, Millington, TN 38054 | 2010-06-18 |
| 1053526996 | Ira N.b. Davis | Optometrist | Nex - Midsouth, Bldg S752, Millington, TN 38054 | 2007-05-14 |
| 1487746236 | Robert Dennis Preston Jr. | Military Health Care Provider | Brach Medical Clinic, Naval Support Activity Mid-south, Millington, TN 38054 | 2006-09-29 |
| 1366486086 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Nex - Navy Support Activity - Memphis, Bldg. S752, Millington, TN 38054 | 2006-06-15 |
| 1710948245 | James R Luedtke | Technician, Other | 5722 Integrity Drive, Bldg S771, Nbhc, Nsa Mid-south, Millington, TN 38054 | 2006-04-02 |
| 1316915333 | Charles Barry Collier | Military Health Care Provider | Branch Medical Clinic, Nsa Mid South, 5722 Integrity Dr Bldg, Millington, TN 38054 | 2006-03-08 |
| 1154391977 | Jose Calixto De La Pena | Family Medicine | 5722 Intergrity Dr., Blgd S771 (nbhc Midsouth, Millington, TN 38054 | 2006-01-24 |
| Find all providers in zip 38054 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437705613 | Roots of Wellness, Pllc | Military Health Care Provider | 680 E Meeting St Ste E, Dandridge, TN 37725-5077 | 2019-08-14 |
| 1962746198 | Maxie L Robinson | Military Health Care Provider | 2865 Lyncrest Dr, Nashville, TN 37214-3516 | 2012-11-10 |
| 1871629972 | Wendy Michelle Burris | Military Health Care Provider | 556 White Rd, Wartrace, TN 37183-3481 | 2007-02-26 |
| 1295164200 | The Hope Center At Grace | Military Health Care Provider | 982 Meagher St, Memphis, TN 38108-3329 | 2013-11-11 |
| City | MILLINGTON |
| Zip Code | 38054 |
Please comment or provide details below to improve the information on SARAH HAVILAND.
| 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.