DR. NATASHA BENFIELD GOUGE (NPI# 1487050233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487050233 |
| Entity Type | Individual |
| Full Name | DR. NATASHA BENFIELD GOUGE |
| Credential | PHD |
| Practice Address |
2002 Brookside Dr Suite 200 Kingsport TN 37660-4634 |
| Practice Telephone | 4232243933 |
| Practice Fax Number | 4232243934 |
| Mailing Telephone | 4232243933 |
| Mailing Fax Number | 4232243934 |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P0000003181 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q013245 | 05 | |
| VA | 1487050233 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 166 Derosier Dr, Johnson City, TN 376145200 | 4234397777 | 4234397780 |
| Street Address |
2002 BROOKSIDE DR SUITE 200 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-4634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293560 | Nicole M Miller | Pediatrics | 2002 Brookside Dr, Suite 200, Kingsport, TN 37660-4634 | 2005-05-27 |
| 1649641200 | Sam W. Huddleston Iv Md PC | Specialist | 2002 Brookside Dr, Suite# 201, Kingsport, TN 37660-4634 | 2015-10-08 |
| 1992105431 | Bblue Ridge Medical Management Corporation | Pediatrics | 2002 Brookside Dr, Suite 200, Kingsport, TN 37660-4634 | 2014-09-03 |
| 1659706208 | Ashley H Begley | Nurse Practitioner | 2002 Brookside Dr, Kingsport, TN 37660-4634 | 2013-09-13 |
| 1346686763 | Blue Ridge Medical Management Corporation | Specialist | 2002 Brookside Dr, Suite 300a, Kingsport, TN 37660-4634 | 2013-05-13 |
| 1538378005 | Janice Louise Yeager | Registered Nurse | 2002 Brookside Dr, Suite 300, Kingsport, TN 37660-4634 | 2007-05-22 |
| 1639210222 | Sathiyendran Poobalasingham | Internal Medicine | 2002 Brookside Dr, Suite 102, Kingsport, TN 37660-4634 | 2007-02-08 |
| 1902918717 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 2002 Brookside Dr, Suite 101, Kingsport, TN 37660-4634 | 2006-08-31 |
| 1659382885 | Blue Ridge Medical Management Corporation | Obstetrics & Gynecology | 2002 Brookside Dr, Suite 200, Kingsport, TN 37660-4634 | 2006-08-11 |
| 1548270879 | Blue Ridge Medical Management Corporation | Obstetrics & Gynecology | 2002 Brookside Dr, Ste 300, Kingsport, TN 37660-4634 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891934675 | Lori Klinger | Psychologist | 2001 E Stonebrook Pl, Kingsport, TN 37660-4000 | 2009-02-18 |
| 1770793556 | David Charles Cantor | Psychologist | 2808 E Center St, Kingsport, TN 37664-2718 | 2007-05-23 |
| 1891876819 | Stephen C Smith | Psychologist | 2035 E Stonebrook Pl, Kingsport, TN 37660-4000 | 2006-10-17 |
| 1891750410 | Judy B Millington | Psychologist | 110 E Main St, Kingsport, TN 37660-4212 | 2006-04-18 |
| 1497717508 | Ted W Hagen II | Psychologist | 110 E Main St, Kingsport, TN 37660-4212 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597727 | Dorsey Matthew Howard | Psychologist | 315 33rd Ave N, Nashville, TN 37209-3941 | 2020-10-29 |
| 1003422874 | Daniel Diperna | Psychologist | 4205 Hillsboro Pike Ste 301, Nashville, TN 37215-3339 | 2020-09-17 |
| 1073137758 | Stephanie Nicole Zuckerman | Psychologist | Intrepid Street, Bldg. S-771, Millington, TN 38054 | 2020-05-29 |
| 1447873906 | Virtual Adhd Services and Testing | Psychologist | 8935 Magnolia Leaf Cv, Cordova, TN 38018-7413 | 2020-05-19 |
| 1538781679 | David R Richie | Psychologist | 680 Russell Rd, Bolivar, TN 38008-3573 | 2020-05-12 |
| 1710513890 | Elizabeth Katharine Collier Baker | Psychologist | 1800 Volunteer Blvd Fl 2, Knoxville, TN 37996-4522 | 2020-03-20 |
| 1881220697 | Rachel Miller Slough | Psychologist | 801 S Dossett Drive, Johnson City, TN 37614 | 2020-03-13 |
| 1164067518 | Jared Scott Yaw | Psychologist | 907 Maynor St, Nashville, TN 37216-3021 | 2019-11-08 |
| 1972144285 | Lauren Dattilo | Psychologist | 1211 21st Ave S Bldg Suite010, Nashville, TN 37212-2717 | 2019-10-08 |
| 1720635030 | Amy Rebekah Murrell | Psychologist | 8558 Ericson Cv, Cordova, TN 38018-7312 | 2019-08-21 |
| 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.