MRS. SHANICE RENEE STEWART (NPI# 1437409620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437409620 |
| Entity Type | Individual |
| Full Name | MRS. SHANICE RENEE STEWART |
| Practice Address |
3369 Durrett Dr Apt. 73 Clarksville TN 37042-8630 |
| Practice Telephone | 4343786181 |
| Mailing Telephone | 4343786181 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
3369 DURRETT DR APT. 73 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37042-8630 |
| 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 | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699202457 | Jelessa Lashae Crosby-powell | Community Based Residential Treatment Facility, Mental Illness | 2010 Tynewood Dr, Clarksville, TN 37042-5284 | 2017-05-11 |
| 1902260805 | Sharon Gilgenast | Community Based Residential Treatment Facility, Mental Illness | 1279 Cloverdale Dr, Clarksville, TN 37040-4714 | 2016-04-07 |
| 1689040289 | Shemeka Lajuana Jenkins | Community Based Residential Treatment Facility, Mental Illness | 118 Union Stret, Clarksville, TN 37040 | 2015-08-18 |
| 1669890281 | Marian Davis | Community Based Residential Treatment Facility, Mental Illness | 100 Ballygar St Apt M, Clarksville, TN 37043-2800 | 2014-04-01 |
| 1366835381 | Lindsey Harper | Community Based Residential Treatment Facility, Mental Illness | 118 Union St, Clarksville, TN 37040-5115 | 2015-03-16 |
| 1851700272 | Lena Cantrell | Community Based Residential Treatment Facility, Mental Illness | 118 Union St, Clarksville, TN 37040-5115 | 2014-08-11 |
| 1194144238 | Lastacia Peele | Community Based Residential Treatment Facility, Mental Illness | 118 Union St, Clarksville, TN 37040-5115 | 2014-04-15 |
| 1841623543 | Esther Washington | Community Based Residential Treatment Facility, Mental Illness | 118 Union St, Clarksville, TN 37040-5115 | 2013-08-16 |
| 1306197215 | Sylvia Rose Smith | Community Based Residential Treatment Facility, Mental Illness | 118 Union St, Clarksville, TN 37040-5115 | 2012-10-02 |
| 1689954117 | Terry Bailey Nix Jr | Community Based Residential Treatment Facility, Mental Illness | 118 Union St, Clarksville, TN 37040-5115 | 2011-08-29 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37042 |
Please comment or provide details below to improve the information on MRS. SHANICE RENEE STEWART.
| 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.