MOBILE MEDICAL CARE (NPI# 1396169587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396169587 |
| Entity Type | Organization |
| Organization Name | MOBILE MEDICAL CARE |
| Practice Address |
2504 Cayer Ln Suite C Columbia TN 38401-7383 |
| Mailing Address |
Po Box 210929 Nashville TN 37221-0929 |
| Practice Telephone | 6156241613 |
| Mailing Telephone | 6156241613 |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |
| Authorized Official Name | MEKONNEN S KIDANE (OWNER/PROVIDER) |
| Authorized Official Telephone | 6156241613 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962927723 | Mobile Medical Care | Nurse Practitioner | 11671 Declaration Drive, Tampa, FL 33635 | 2017-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MOBILE MEDICAL CARE SERVICES, P.C. | 187 Wolf Road, Suite 101, Albany, Ny 12205 |
| Street Address |
2504 CAYER LN SUITE C |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-7383 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699314393 | Tamika Scott | Nurse Practitioner | 10840 Little Patuxent Pkwy Ste 105, Columbia, MD 21044-3254 | 2019-12-27 |
| 1497391924 | Stephnie Michelle Wriedt | Nurse Practitioner | 1605 E Broadway Ste 250, Columbia, MO 65201-8031 | 2019-11-19 |
| 1518473115 | Takeela Kinard | Nurse Practitioner | 1842 St Michaels Rd, Columbia, SC 29210-6140 | 2017-12-18 |
| 1629503594 | Jennifer Junior | Nurse Practitioner | 2170 Walker Solomon Way, Columbia, SC 29204-1130 | 2017-04-27 |
| 1013454073 | Chekita Rena Legette | Nurse Practitioner | Baptist Inpatient Medical, Taylor @ Marion Street, Columbia, SC 29220-0001 | 2017-01-27 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1851753107 | Irene James-frazer | Nurse Practitioner | 1494 Lake Murray Blvd Fl 2, Columbia, SC 29212-8697 | 2016-03-25 |
| 1669789434 | Kayla B Butler | Nurse Practitioner | 218 Ashley Place Rd, Columbia, SC 29229-9628 | 2010-09-01 |
| 1639337009 | Katie G. Roach | Nurse Practitioner | 1819 Marshall St, Columbia, SC 29203-6907 | 2008-06-02 |
| 1386817492 | Jeannette Carol Quigley | Nurse Practitioner | 8894 Stanford Overlook, Columbia, MD 21045 | 2008-04-09 |
| Find all providers in COLUMBIA | ||||
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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.