JASON ALLEN CANTRELL (NPI# 1457581787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457581787 |
Entity Type | Individual |
Full Name | JASON ALLEN CANTRELL |
Credential | SA |
Practice Address |
647 Myatt Dr Madison TN 37115-2125 |
Practice Telephone | 6158688942 |
Enumeration Date | 2009-07-21 |
Last Update Date | 2009-07-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
Street Address |
647 MYATT DR |
City | MADISON |
State | TN |
Zip Code | 37115-2125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245233220 | Northridge Surgery Center, Lp | Clinic/Center | 647 Myatt Dr, Madison, TN 37115-2125 | 2005-05-24 |
1629234778 | Richard Harding | Registered Nurse | 647 Myatt Dr, Madison, TN 37115-2125 | 2008-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
Find all providers in zip 37115 |
Taxonomy Code | 246Z00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174998538 | Pamela Clardy Key | Specialist/Technologist, Other | 834 Park Ln, Madison, GA 30650-1950 | 2015-12-09 |
1770611741 | Steven Weber | Specialist/Technologist, Other | 305 Karen Ct, Madison, WI 53705-5026 | 2007-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669018859 | Angela Carroll Childs | Specialist/Technologist, Other | 5050 Poplar Ave Ste 300, Memphis, TN 38157-0300 | 2019-11-21 |
1619511383 | Kenisha Davis | Specialist/Technologist, Other | 2944 N Stage Plz, Bartlett, TN 38134-3705 | 2019-11-05 |
1376191783 | Erien Wynne Fryer | Specialist/Technologist, Other | 190 Hatcher Ln Ste B, Clarksville, TN 37043-5989 | 2019-08-28 |
1851856512 | Brittany Marie Baker | Specialist/Technologist, Other | 140 Dameron Ave # 1800, Knoxville, TN 37917-6434 | 2019-02-07 |
1063864403 | Jennifer Rippetoe Lawrence | Specialist/Technologist, Other | 4267 Turnberry Rd, Lebanon, TN 37090-6503 | 2016-07-11 |
1265899959 | Delta Sleep Center Pllc | Specialist/Technologist, Other | 1505 Woodlawn Ave Ste B, Dyersburg, TN 38024-3145 | 2016-01-26 |
1255650867 | Darryl Deshawn Champion | Specialist/Technologist, Other | 444 Lealand Lane, Lebanon, TN 37087 | 2010-05-21 |
1013128701 | Eva Barrett Beal | Specialist/Technologist, Other | 463 Burnt Hill Rd, Unionville, TN 37180-8604 | 2007-05-24 |
1316159031 | Michael Shawn Jarrett | Specialist/Technologist, Other | 915 Poplar Springs Rd, Huntingdon, TN 38344-8867 | 2007-05-04 |
1164552832 | Renee Franklin | Specialist/Technologist, Other | 744 School Dr, Tn Dept of Health, Gainesboro, TN 38562-9575 | 2007-03-06 |
Find all providers with the same taxonomy |
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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.