TERI JO TEAGUE (NPI# 1356774152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356774152 |
Entity Type | Individual |
Full Name | TERI JO TEAGUE |
Other Name | TERI JO SHACKELFORD |
Practice Address |
205 Millstone Cir Clarksville TN 37042-5931 |
Practice Telephone | 9312372107 |
Mailing Telephone | 9312372107 |
Enumeration Date | 2013-08-15 |
Last Update Date | 2013-08-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183700000X | Pharmacy Technician | 42783 | TN | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | STATE OF TENNESSEE DEPT OF HEALTH | 0000042783 | 01 |
Street Address |
205 MILLSTONE CIR |
City | CLARKSVILLE |
State | TN |
Zip Code | 37042-5931 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275186603 | Elizabeth Louise Eckart | Physical Therapist | 305 Rue Le Mans Dr., Clarksville, TN 37042 | 2019-07-24 |
1740844802 | Lana Sperry | Speech-Language Pathologist | 1255 Northfield Drive, Clarksville, TN 37042 | 2019-04-24 |
1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
1336590058 | Bobby Bonner Jr. | Case Manager/Care Coordinator | 1697putnum Drive, Clarksville, TN 37042 | 2016-06-23 |
1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
1346621323 | Rocky Mountain Holdings, LLC | Ambulance | 248 Outlaw Field Rd, Clarksville, TN 37042 | 2015-06-15 |
1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
1851709331 | Brent Michael Hazlewood | Dentist | 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 | 2014-07-28 |
1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
Find all providers in zip 37042 |
Taxonomy Code | 183700000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacy Technician |
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063937977 | Rudraben P Patel | Pharmacy Technician | 1051 S Riverside Dr, Clarksville, TN 37040-4303 | 2017-08-11 |
1346765278 | Chelsea Brook Parnell | Pharmacy Technician | 1051 S Riverside Dr, Clarksville, TN 37040-4303 | 2017-08-11 |
1326488172 | Leah Liverett Smith | Pharmacy Technician | 1756 Highway 48, Clarksville, TN 37040-9204 | 2013-06-25 |
1174677728 | Deborah Faye Rye | Pharmacy Technician | 1051 S Riverside Dr, Clarksville, TN 37040-4303 | 2007-01-22 |
1831242882 | Amy Leigh Ellis | Pharmacy Technician | 1051 S Riverside Dr, Clarksville, TN 37040-4303 | 2007-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902425283 | Denisha N Golston | Pharmacy Technician | 1900 Belmont Blvd Apt T6, Nashville, TN 37212-3758 | 2020-04-16 |
1356824825 | Sharonda Bealer | Pharmacy Technician | 1661 International Place Dr Ste 150, Memphis, TN 38120-1432 | 2018-09-11 |
1124532478 | Vanessa Butterfly Denham | Pharmacy Technician | 5461 Blue Oak Dr, Chattanooga, TN 37416-1650 | 2017-11-24 |
1295121820 | Jeffrey Nicholas Williams | Pharmacy Technician | 120 Brazzell Rd, Dickson, TN 37055 | 2015-04-10 |
1396175907 | Niravkumar Patel | Pharmacy Technician | 7910 Regatta Dr, Apt 102, Cordova, TN 38016-1337 | 2013-11-18 |
1134492713 | Sandra Denise Godsey | Pharmacy Technician | 635 Paul Huff Pkwy Nw, Cleveland, TN 37312-2970 | 2012-02-13 |
1316224850 | Shirley Carol Gilbert | Pharmacy Technician | 2045 Us Highway 45 Byp S, Trenton, TN 38382-2940 | 2011-11-11 |
1447537550 | Jason Ivory Taylor | Pharmacy Technician | 3333 E.shelby Dr., Memphis, TN 38105-4510 | 2011-11-03 |
1003190828 | Shantera L Childs | Pharmacy Technician | 3595 Lucy Rd, Millington, TN 38053-7807 | 2011-09-29 |
1023323888 | Briana Coss Hayden | Pharmacy Technician | 2828 Old Hickory Blvd, Apt 105, Nashville, TN 37221-3719 | 2010-08-17 |
Find all providers with the same taxonomy |
City | CLARKSVILLE |
Zip Code | 37042 |
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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.