CAROL LIGHT (NPI# 1457723645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457723645 |
| Entity Type | Individual |
| Full Name | CAROL LIGHT |
| Credential | LPN |
| Practice Address |
247 Silver Lake Rd Church Hill TN 37642-3516 |
| Mailing Address |
Po Box 209 Church Hill TN 37642-0209 |
| Practice Telephone | 4233575341 |
| Practice Fax Number | 4233572231 |
| Mailing Telephone | 4233575341 |
| Mailing Fax Number | 4233572231 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 82468 | TN | Nursing Service Providers |
| Street Address |
247 SILVER LAKE RD |
| City | CHURCH HILL |
| State | TN |
| Zip Code | 37642-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881749794 | State of Tennessee | Public Health or Welfare | 247 Silver Lake Rd, Church Hill, TN 37642-3516 | 2007-01-24 |
| 1295384378 | Daniel Clayton Splinter | Dentist | 247 Silver Lake Rd, Church Hill, TN 37642-3516 | 2019-09-10 |
| 1174029524 | Heather Brown | Nurse Practitioner | 247 Silver Lake Rd, Church Hill, TN 37642-3516 | 2018-04-04 |
| 1275061749 | Amanda Nicole Grimes | Registered Nurse | 247 Silver Lake Rd, Church Hill, TN 37642-3516 | 2017-05-30 |
| 1942625728 | Dakota Elkins | Registered Nurse | 247 Silver Lake Rd, Church Hill, TN 37642-3516 | 2014-03-03 |
| 1841637600 | Brittany Danielle Cradic | Registered Nurse | 247 Silver Lake Rd, Church Hill, TN 37642-3516 | 2013-06-03 |
| 1649539909 | Bethany Hensley | Licensed Practical Nurse | 247 Silver Lake Rd, Church Hill, TN 37642-3516 | 2012-05-08 |
| 1568774149 | Hannah Celeste Hunter | Registered Nurse | 247 Silver Lake Rd, Church Hill, TN 37642-3516 | 2010-07-12 |
| 1699087262 | Church Hill Health Dept | Public Health or Welfare | 247 Silver Lake Rd, Church Hill, TN 37642-3516 | 2010-07-12 |
| 1104142504 | Amanda Hope Hutchison | Registered Nurse | 247 Silver Lake Rd, Church Hill, TN 37642-3516 | 2010-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578779112 | Shanna Brooke Lyons | Pharmacist | 731 Hwy 11w, Church Hill, TN 37642 | 2007-05-14 |
| 1255465860 | Christy Lyons | Pharmacist | 731 Highway 11w, Church Hill, TN 37642 | 2007-03-15 |
| 1265457394 | Church Hill Drug Store | Pharmacist | 104 Main St E, Church Hill, TN 37642 | 2006-07-12 |
| 1962530444 | Church Hill Drug Store Inc. | Pharmacy | 104 East Main Street, Church Hill, TN 37642 | 2007-02-28 |
| 1376548743 | Vanguard of Church Hill, LLC | Skilled Nursing Facility | 701 W Main Blvd, Church Hill, TN 37642 | 2005-06-14 |
| 1831385731 | Elizabeth Ann Willis | Registered Nurse | 247 Silver Lake Rd., Church Hill, TN 37642-0209 | 2007-09-25 |
| 1225055700 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 731 Highway 11 W, Church Hill, TN 37642-3146 | 2006-07-17 |
| 1003201047 | Johnathan Norris | Pharmacist | 731 Highway 11 W, Church Hill, TN 37642-3146 | 2015-04-06 |
| 1942377007 | John Eric Renye | Dentist | 402 E Main Blvd, Church Hill, TN 37642-3405 | 2006-11-30 |
| 1164884938 | Heather Varney | Nurse Practitioner | 406 E Main Blvd, Church Hill, TN 37642-3405 | 2016-03-22 |
| Find all providers in zip 37642 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649539909 | Bethany Hensley | Licensed Practical Nurse | 247 Silver Lake Rd, Church Hill, TN 37642-3516 | 2012-05-08 |
| 1194866400 | Betty Carol Fields | Licensed Practical Nurse | 247 Silver Lake Rd, Church Hill, TN 37642-3516 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001784 | Natalie Raye Higginbotham | Licensed Practical Nurse | 505 E Ash St, La Follette, TN 37766-2529 | 2020-10-22 |
| 1750989521 | April Nicole Milam | Licensed Practical Nurse | 600 Jefferson Ave Ste 350, Memphis, TN 38105-4900 | 2020-10-14 |
| 1922606953 | Latonya Rochelle Addison | Licensed Practical Nurse | 8855 N Cortona Cir, Cordova, TN 38018-6978 | 2020-10-12 |
| 1487269437 | Cathy Jones | Licensed Practical Nurse | 2047 Dutch Valley Rd, Clinton, TN 37716-5121 | 2020-09-15 |
| 1902410855 | Jessica Adams | Licensed Practical Nurse | 1496 Dardon Ave, Memphis, TN 38116-8410 | 2020-09-08 |
| 1639782733 | Maresa Grines Huggins | Licensed Practical Nurse | 6939 7th Rd, Bartlett, TN 38135-2582 | 2020-08-28 |
| 1326659483 | Kristen Julia Rash | Licensed Practical Nurse | 1813 6th Ave, Knoxville, TN 37917-5830 | 2020-08-12 |
| 1215545942 | Rhonda Jean Jeffers | Licensed Practical Nurse | 3860 Helenwood Loop Rd, Helenwood, TN 37755-5562 | 2020-07-20 |
| 1881210953 | Jennifer Higginbotham | Licensed Practical Nurse | 1126 Cross Valley Rd, La Follette, TN 37766-4964 | 2020-06-24 |
| 1043833775 | Selena Myers | Licensed Practical Nurse | 2125 Old County Garage Rd, Helenwood, TN 37755-5385 | 2020-05-28 |
| Find all providers with the same taxonomy | ||||
| City | CHURCH HILL |
| Zip Code | 37642 |
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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.