MRS. JENNIFER C COMPTON (NPI# 1467457341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467457341 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER C COMPTON |
| Credential | P.A. |
| Practice Address |
4848 Fort Henry Dr Kingsport TN 37663-3347 |
| Mailing Address |
Po Box 9 Kingsport TN 37662-0009 |
| Practice Telephone | 4238572066 |
| Practice Fax Number | 4238572066 |
| Mailing Telephone | 4238572066 |
| Mailing Fax Number | 4233903339 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2017-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA0000000275 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | JOHN DEERE | 830342546 | 01 |
| VA | ANTHEM BCBS VA | 246269 | 01 |
| TN | 103I977037 | 05 | |
| TN | BCBS TN | 4059748 | 01 |
| TN | RAILROAD MEDICARE | 080194591 | 01 |
| VA | VA MEDICAID | 5645956 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1526 Bridgewater Ln, Kingsport, TN 376604106 | 4232460033 | 4232450034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750874160 | Jennifer Elisabeth Compton | Counselor | 2135 Denton Rd Ste 2, Dothan, AL 36303-2384 | 2018-06-11 |
| 1114275070 | Jennifer Compton | Licensed Practical Nurse | 7500 County Road 20, Friendship, NY 14739-8705 | 2012-08-27 |
| 1174096424 | Jennifer Compton | Occupational Therapy Assistant | 111 Lakeside Dr Ne, Grand Rapids, MI 49503-3811 | 2019-01-09 |
| 1831684166 | Jennifer J Compton | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2018-06-28 |
| 1700139417 | Jennifer L Compton | Physical Therapy Assistant | 18411 West Lake Houston Parkway, Suite 550, Humble, TX 77346 | 2012-10-18 |
| 1013274265 | Jennifer A Compton | Nurse Anesthetist, Certified Registered | 1053 Medical Center Drive, Orange City, FL 32763-8260 | 2012-04-12 |
| 1740446640 | Jennifer Brown Compton | Optometrist | 211 Cumberland Xing, Monticello, KY 42633-9000 | 2008-07-31 |
| 1174560361 | Jennifer Ann Compton | Physician Assistant | 6585 S Yale Ave Ste 720, Tulsa, OK 74136 | 2006-05-31 |
| Street Address |
4848 FORT HENRY DR |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37663-3347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293586 | Warren Jones | Family Medicine | 4848 Fort Henry Dr, Kingsport, TN 37663-3347 | 2005-05-26 |
| 1417959727 | Myra Watts | Nurse Practitioner | 4848 Fort Henry Dr, Kingsport, TN 37663-3347 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649528126 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 1567 North Eastman Road, Kingsport, TN 37663 | 2012-08-15 |
| 1548546419 | Vickie R Harris | Counselor | 317 Pitt Road, Kingsport, TN 37663 | 2011-10-24 |
| 1467746446 | Eric A. Echard | Dentist | 1339 Moreland Drive, Suite 1, Kingsport, TN 37663 | 2011-06-07 |
| 1619003399 | Colonial Heights Pharmacy, Inc. | Pharmacy | 4221 Ft. Henry Drive, Kingsport, TN 37663 | 2007-02-26 |
| 1316005986 | Robert F Mcamis Jr. | Dentist | 4016 Fort Henry Drive, Kingsport, TN 37663 | 2006-12-05 |
| 1467567412 | Colonial Heights Dental Assocaites | Dentist | 150 Clinic Drive, Suite A, Kingsport, TN 37663 | 2006-08-20 |
| 1194777953 | Nicholas Brett Smith | Family Medicine | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2006-05-17 |
| 1396720108 | Resp-i-care, Inc. | Durable Medical Equipment & Medical Supplies | 648 Eastern Star Rd, Kingsport, TN 37663 | 2005-12-14 |
| 1023000429 | Darryl Fontaine | Anesthesiology | 4105 Fort Henry Drive, Suite 207, Kingsport, TN 37663 | 2005-08-22 |
| 1659701696 | Jordan Burke | Physician Assistant | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2013-11-12 |
| Find all providers in zip 37663 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| 1386041101 | Dustin L Barrett | Physician Assistant | 2050 Meadowwview Pkwy., Kingsport, TN 37660-7475 | 2014-11-21 |
| 1265603914 | Stephen Timothy Lawson | Physician Assistant | 121 E Ravine Rd Ste 200, Kingsport, TN 37660-3826 | 2008-03-20 |
| 1477751238 | Clay Deneeen Davis | Physician Assistant | 4509 W Stone Dr, Kingsport, TN 37660-1048 | 2007-07-03 |
| 1932310828 | Cumberland Back Pain Clinic | Physician Assistant | 1732 N Eastman Rd, Kingsport, TN 37664-2376 | 2007-05-24 |
| 1568567535 | William Kendall Johnson | Physician Assistant | 3 Sheridan Square, Kingsport, TN 37660 | 2006-09-14 |
| 1306941372 | Clark Rafael Hernandez | Physician Assistant | Three Sheridan Square, Kingsport, TN 37660 | 2006-09-14 |
| 1598364903 | Kevin White | Physician Assistant | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-10-19 |
| 1770195273 | Daulton Horne | Physician Assistant | 105 W Stone Dr Ste 4b, Kingsport, TN 37660-3365 | 2020-08-18 |
| 1245855501 | Carley Neil Carter | Physician Assistant | 105 W Stone Dr Ste 4b, Kingsport, TN 37660-3365 | 2020-06-12 |
| Find all providers in KINGSPORT | ||||
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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.