WENDY RENEE COLLINS SQUIREWELL (NPI# 1558904433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558904433 |
Entity Type | Individual |
Full Name | WENDY RENEE COLLINS SQUIREWELL |
Practice Address |
612 W Due West Ave # G100 Madison TN 37115-4402 |
Mailing Address |
215 Savannah Court East Springfield TN 37172 |
Practice Telephone | 6152581990 |
Practice Fax Number | 6152581992 |
Mailing Telephone | 6155790819 |
Enumeration Date | 2019-10-23 |
Last Update Date | 2019-11-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | 079013609 | TN | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
740 Conference Dr, Goodlettsville, TN 370722084 | 6157161190 | 6152581992 |
Street Address |
612 W DUE WEST AVE # G100 |
City | MADISON |
State | TN |
Zip Code | 37115-4402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124661012 | Joyful Transportation | Non-emergency Medical Transport (VAN) | 612 W Due West Ave # G100, Madison, TN 37115-4402 | 2019-10-23 |
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 | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922605260 | Kelly Skoch | Driver | 1899 Hubbard Rd, Madison, OH 44057-2103 | 2020-10-08 |
1790250199 | James Curtis Mason Jr. | Driver | 687 Hazelton Dr, Madison, MS 39110-7390 | 2018-10-11 |
1013345339 | Po Ze Thao | Driver | 1501 Trailsway Apt 1, Madison, WI 53704-2931 | 2013-10-23 |
1689848467 | Jamilla Jean Thomas | Driver | 113 Centurion Drive, Madison, AL 35757 | 2008-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942809306 | J&j Senior Transportation and Concierge Svc | Driver | 3845 Viscount Ave Ste 305, Memphis, TN 38118-6024 | 2020-10-17 |
1750994588 | Advantage In-home Care Services LLC | Driver | 5371 Sunstone Cv, Memphis, TN 38109-6357 | 2020-08-31 |
1134732290 | Ida Johnican | Driver | 491 S Sanga Rd, Cordova, TN 38018-7686 | 2020-08-28 |
1275144214 | Depree Chatman | Driver | 1049 N Idlewild St, Memphis, TN 38107-3002 | 2020-08-13 |
1164030052 | Ashley C Redd | Driver | 3007 Wentworth Ct, Murfreesboro, TN 37127-8346 | 2020-07-16 |
1093323172 | Daniel Timothy Davis | Driver | 1553 Brentwood Pointe, Franklin, TN 37067-1625 | 2020-07-15 |
1639795164 | Brenda Denise Haley I | Driver | 3272 Princeton Ave, Memphis, TN 38112-3114 | 2020-06-20 |
1841816576 | B&c Transporters LLC | Driver | 506 N Haven Ln, Hixson, TN 37343-3844 | 2020-06-18 |
1912521352 | Nikishia Burson | Driver | 2507 Dodson Ave, Chattanooga, TN 37406-2445 | 2020-06-02 |
1619591237 | Janice Newsom | Driver | 2200b Buchanan St # 2200b, Nashville, TN 37208-1912 | 2020-05-29 |
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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.