MRS. KIESHA HAZELRAY (NPI# 1285114306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285114306 |
| Entity Type | Individual |
| Full Name | MRS. KIESHA HAZELRAY |
| Credential | CNA |
| Practice Address |
209 Croll Ct Apt 125 Chattanooga TN 37410-1017 |
| Mailing Address |
Po Box 80232 Chattanooga TN 37414-7232 |
| Practice Telephone | 4234329401 |
| Mailing Telephone | 4234329401 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | TN | Agencies | |
| N | 251J00000X | Nursing Care | TN | Agencies | |
| N | 376K00000X | Nurse's Aide | TN | Nursing Service Related Providers | |
| N | 253Z00000X | In Home Supportive Care | TN | Agencies | |
| N | 174200000X | Meals | TN | Other Service Providers |
| Street Address |
209 CROLL CT APT 125 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37410-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346724143 | Tk Home Karing Service | Home Health | 209 Croll Ct Apt 125, Chattanooga, TN 37410-1017 | 2018-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962597179 | Chattanooga Hamilton County Hospital Authority | Clinic/Center | 100 East 37th Street, Chattanooga, TN 37410 | 2006-10-04 |
| 1588150551 | Tyronesia Nacuoa Small | Counselor | 927 W 37th St, Chattanooga, TN 37410 | 2018-07-02 |
| 1891201695 | Asha L Coleman | Counselor | 927 W 37th St, Chattanooga, TN 37410-1207 | 2017-12-17 |
| 1265776801 | Professional Service Group Psg | Home Health | 200 W 38th St, Chattanooga, TN 37410-1317 | 2012-11-20 |
| 1477573970 | Angela C. Mejias | Nurse Practitioner | 100 E 37th St, Chattanooga, TN 37410-1401 | 2006-07-20 |
| 1093942385 | Lee Street Developers LLC | Respite Care | 5410 Lee Ave, Chattanooga, TN 37410-2219 | 2009-06-15 |
| 1053732099 | Neeta Javer | Nurse Practitioner | 5410 Lee Ave, Chattanooga, TN 37410-2219 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538319 | The Pelvic Method Pllc | Physical Therapist | 852 Mccallie Ave, Chattanooga, TN 37403-2600 | 2020-11-04 |
| 1407457765 | Kaleisha Danyelle Dunbar | Private Vehicle | 8143 Iris Rd, Chattanooga, TN 37421-4276 | 2020-11-03 |
| 1265032924 | Staccato LLC | In Home Supportive Care | 122 Lee Parkway Dr Ste 402, Chattanooga, TN 37421-0813 | 2020-10-30 |
| 1316547474 | United Medical Lab LLC | Clinical Medical Laboratory | 3201 Easton Ave, Chattanooga, TN 37415-4715 | 2020-10-28 |
| 1659971067 | Mary E Kaylor | Registered Nurse | 9446 E Brainerd Rd, Chattanooga, TN 37421-3404 | 2020-10-27 |
| 1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
| 1679172787 | Shelli M Hancock | Registered Nurse | 8928 Fuller Rd, Chattanooga, TN 37421-4437 | 2020-10-20 |
| 1649878059 | Natasha A Anderson | Social Worker | 711 Signal Mountain Rd., 241, Chattanooga, TN 37405 | 2020-10-16 |
| 1992303457 | Winnie Warun Kiri | Nurse Practitioner | 4715 Bonny Oaks Dr Apt 308, Chattanooga, TN 37416-3825 | 2020-10-15 |
| 1487261889 | Taylor Keasler Reed | Nurse Anesthetist, Certified Registered | 979 E 3rd St Ste C-325, Chattanooga, TN 37403-2136 | 2020-09-29 |
| Find all providers in CHATTANOOGA | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432861 | Gessyca Jones | Home Health | 1706 Prigmore Rd, Chattanooga, TN 37412-3040 | 2019-02-01 |
| 1720557382 | Stephaine Turner | Home Health | 3511 Rossville Blvd, Chattanooga, TN 37407-2466 | 2018-11-13 |
| 1427552280 | Riverdale Health Group LLC | Home Health | 200 W M L King Blvd, 1035 B, Chattanooga, TN 37402 | 2018-03-19 |
| 1023520343 | Lhcg Cxxxv LLC | Home Health | 1501 Riverside Dr Ste 343, Chattanooga, TN 37406-4309 | 2017-10-26 |
| 1578075891 | Lhcg Cxxxvi LLC | Home Health | 1501 Riverside Dr Ste 345, Chattanooga, TN 37406-4309 | 2017-10-26 |
| 1457882748 | Jpjw Group, LLC | Home Health | 6107 Schofield Ave, Chattanooga, TN 37412-3953 | 2017-03-27 |
| 1861881419 | Shawrika Tibbs-white | Home Health | 6315 Bonny Oaks Dr, Chattanooga, TN 37416-3538 | 2015-01-21 |
| 1740687995 | Always Home Healthcare | Home Health | 6727 Heritage Business Ct Ste 724, Chattanooga, TN 37421-4153 | 2014-12-02 |
| 1063814515 | Mcallister Personal Care Consultants | Home Health | 419 N. Market Street, Chattanooga, TN 37405 | 2014-09-16 |
| 1265776801 | Professional Service Group Psg | Home Health | 200 W 38th St, Chattanooga, TN 37410-1317 | 2012-11-20 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37410 |
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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.