VIENNA CORNELL (NPI# 1356959696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356959696 |
Entity Type | Individual |
Full Name | VIENNA CORNELL |
Other Name | VIENNA EUN PAE |
Practice Address |
6110 Shallowford Rd Chattanooga TN 37421-1894 |
Practice Telephone | 4234991031 |
Enumeration Date | 2020-07-22 |
Last Update Date | 2020-07-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
Street Address |
6110 SHALLOWFORD RD |
City | CHATTANOOGA |
State | TN |
Zip Code | 37421-1894 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275569774 | Christopher Douglas Blazina | Psychologist | 6110 Shallowford Rd, C O Crc, Chattanooga, TN 37421-1615 | 2006-06-25 |
1245839240 | Rachel Collins | Counselor | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-10-21 |
1245838622 | Alison Morris | Counselor | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-10-16 |
1700491719 | Ann Marie Moore | Counselor | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-09-15 |
1922610336 | Jessica Irvin | Social Worker | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-08-18 |
1356952519 | William Griffin Hatcliff Jr. | Counselor | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-08-12 |
1720698525 | Kelseigh Garrett | Counselor | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-08-06 |
1184233868 | Shirley Miriah Carroll | Social Worker | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-07-28 |
1669095907 | Jason Hamrick | Registered Nurse | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-05-21 |
1841820370 | Lois Geraldine Pratt | Counselor | 6110 Shallowford Rd, Chattanooga, TN 37421-1894 | 2020-01-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
Find all providers in zip 37421 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114533858 | Sarah Anne May | Counselor | 711 Signal Mountain Rd # 241, Chattanooga, TN 37405-1823 | 2020-09-18 |
1578065322 | Sasha Self | Counselor | 2100 Chapman Rd Ste 115, Chattanooga, TN 37421-1646 | 2018-03-07 |
1497256150 | Brian Clinton | Counselor | 5613 Tennessee Ave, Chattanooga, TN 37409-2331 | 2018-02-27 |
1114463353 | Christopher Harris | Counselor | 7429 Shallowford Rd, Chattanooga, TN 37421-2629 | 2017-01-11 |
1750741088 | Weena Rivera | Counselor | 936 Mountain Creek Rd E-59, Apt E59, Chattanooga, TN 37405 | 2016-02-29 |
1437518206 | Kristin Smith | Counselor | 3810 Lamar Ave, Chattanooga, TN 37415-4006 | 2016-02-22 |
1265831499 | Eric Ralston | Counselor | 8213 Igou Gap Rd, Chattanooga, TN 37421-2708 | 2014-08-13 |
1609210624 | William Knowles Dwyer | Counselor | 301 Belvoir Ave, Chattanooga, TN 37411-5104 | 2013-04-21 |
1427397900 | Bevin Gracy | Counselor | 3069 Broad St Ste 7d, Chattanooga, TN 37408 | 2013-02-04 |
1225308000 | Juliet Nicole Thomas | Counselor | 3421 Dayton Blvd, Chattanooga, TN 37415-4626 | 2012-01-10 |
Find all providers in CHATTANOOGA |
City | CHATTANOOGA |
Zip Code | 37421 |
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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.