D'OVIONNE NYDASIA POTTER (NPI# 1346897022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346897022 |
| Entity Type | Individual |
| Full Name | D'OVIONNE NYDASIA POTTER |
| Practice Address |
202 Chapman Ln Columbia TN 38401-2622 |
| Mailing Address |
2122 Circle Dr Columbia TN 38401-4430 |
| Practice Telephone | 9316988359 |
| Mailing Telephone | 9314901480 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities | ||
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | TN | Residential Treatment Facilities |
| Street Address |
202 CHAPMAN LN |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174958474 | Heavenly Angel Wings Retirement Home | Residential Treatment Facility, Physical Disabilities | 8404 Knifley Rd, Columbia, KY 42728-7505 | 2013-09-05 |
| 1912345596 | Mcmillian's Community Care Home | Residential Treatment Facility, Physical Disabilities | 5748 Knightner St, Columbia, SC 29203-3508 | 2013-06-05 |
| 1871717264 | Humanim Inc | Residential Treatment Facility, Physical Disabilities | 6355 Woodside Ct, Columbia, MD 21046-1071 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528200441 | Aeb, LLC Dba Visiting Angels of Nashville | Residential Treatment Facility, Physical Disabilities | 750 Old Hickory Blvd Bldg 2, Suite 150, Brentwood, TN 37027-4528 | 2009-03-25 |
| 1972712297 | Tresa Meshon Rice | Residential Treatment Facility, Physical Disabilities | 119 Mccartt Loop, Chuckey, TN 37641-5028 | 2007-05-22 |
| 1811321318 | Kelly Gay | Residential Treatment Facility, Physical Disabilities | 8249 Standifer Gap Rd, Chattanooga, TN 37421-5046 | 2013-09-03 |
| 1154556066 | Jennifer Lynn Lucas | Residential Treatment Facility, Physical Disabilities | 2120 Highland Ave, Knoxville, TN 37916-1112 | 2009-05-20 |
| 1689842254 | Rehab Resources | Residential Treatment Facility, Physical Disabilities | 4937 Highway 43 N, Suite 100, Summertown, TN 38483-7052 | 2008-02-15 |
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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.