CAROLINE TIMANUS (NPI# 1518582204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518582204 |
| Entity Type | Individual |
| Full Name | CAROLINE TIMANUS |
| Credential | APRN |
| Practice Address |
6107 Pinewood Rd Nunnelly TN 37137-2523 |
| Mailing Address |
1065 Ne 125th St Ste 409 North Miami FL 33161-5834 |
| Practice Telephone | 8888526672 |
| Practice Fax Number | 3058914228 |
| Mailing Telephone | 8888526672 |
| Mailing Fax Number | 3058914228 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN27587 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6107 PINEWOOD RD |
| City | NUNNELLY |
| State | TN |
| Zip Code | 37137-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962426890 | Michael John Baron | Psychiatry & Neurology | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2006-07-26 |
| 1679172043 | Eva C Copeland | Dietitian, Registered | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2020-10-18 |
| 1831719442 | Compass Health Systems of Tennessee | Family Medicine | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2020-04-23 |
| 1114404530 | Pb Outpatient Services Tennessee, LLC | Psychiatric Residential Treatment Facility | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2018-07-27 |
| 1295166304 | Rhonda Marnae Bartine | Nurse Practitioner | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2013-11-29 |
| 1427346147 | David A Sack Md Tn PC | Nurse Practitioner | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2011-07-15 |
| 1033409438 | Brian Edward Fuller | Psychiatry & Neurology | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2011-04-19 |
| 1477869212 | Rhonda K Rodriguez | Nurse Practitioner | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2010-08-30 |
| 1316174261 | The Ranch | Psychiatric Residential Treatment Facility | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2009-06-18 |
| 1184791634 | The Ranch On The Piney River, Inc. | Community/Behavioral Health | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2006-11-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083820278 | Kimberley Dawn Burchett | Counselor | 168 Three Springs Rd, Nunnelly, TN 37137-2670 | 2007-05-15 |
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295166304 | Rhonda Marnae Bartine | Nurse Practitioner | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2013-11-29 |
| 1427346147 | David A Sack Md Tn PC | Nurse Practitioner | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2011-07-15 |
| 1477869212 | Rhonda K Rodriguez | Nurse Practitioner | 6107 Pinewood Rd, Nunnelly, TN 37137-2523 | 2010-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972966 | Rebecca Singleton | Nurse Practitioner | 2601 N John B Dennis Hwy Apt 2318, Kingsport, TN 37660-0835 | 2020-11-03 |
| 1205434503 | Sonya Lavet Butler | Nurse Practitioner | 3413 Axelwood Dr, Murfreesboro, TN 37128-3984 | 2020-10-09 |
| 1417554361 | John Pearson Redmond | Nurse Practitioner | 1710 Ghost Creek Dr, Collierville, TN 38017-3425 | 2020-10-05 |
| 1861099061 | Justin Mccord | Nurse Practitioner | 454 Red Hill Center Rd, Lawrenceburg, TN 38464-6842 | 2020-10-01 |
| 1265049977 | Toya Owens | Nurse Practitioner | 2565 Mackinnon Dr, Memphis, TN 38119-7903 | 2020-09-26 |
| 1043827041 | Zamaria Davion Louise Gains | Nurse Practitioner | 7405 Shallowford Rd Ste 230, Chattanooga, TN 37421-7632 | 2020-09-24 |
| 1376158998 | Mary L Dean Turner | Nurse Practitioner | 6727 Stonetrace Dr, Bartlett, TN 38135-3054 | 2020-09-10 |
| 1205447794 | Sana Pathan | Nurse Practitioner | 829 S Sherbrooke Cir, Mount Carmel, TN 37645-4019 | 2020-08-10 |
| 1093325557 | Highland Behavioral Healthcare | Nurse Practitioner | 29 Taylor Ave Ste 204, Crossville, TN 38555-4537 | 2020-08-08 |
| 1225648009 | Angela R Davenport | Nurse Practitioner | 7110 Crossroads Blvd, Brentwood, TN 37027-2826 | 2020-08-05 |
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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.