MR. JOHN SCOTT TENBROECK (NPI# 1629354600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629354600 |
| Entity Type | Individual |
| Full Name | MR. JOHN SCOTT TENBROECK |
| Credential | LNHA |
| Practice Address |
936 N Sharon Amity Rd Charlotte NC 28211-3138 |
| Practice Telephone | 7049420650 |
| Practice Fax Number | 7043332281 |
| Mailing Telephone | 7049420650 |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2013-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | A00001102 | NC | Other Service Providers |
| Y | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
936 N SHARON AMITY RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-3138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074981 | C Delane Jones | Health Educator | 4316 Hubbard Rd, Charlotte, NC 28269-2375 | 2020-02-11 |
| 1649811779 | Brittany Madison Waters | Health Educator | 5707 Cougar Ln, Charlotte, NC 28269-1514 | 2019-09-30 |
| 1831606110 | Jasmine Hardy | Health Educator | 6824 Democracy Dr, Charlotte, NC 28212-3868 | 2018-01-08 |
| 1740704352 | Targetcare, Inc. | Health Educator | 831 E. Morehead Street, Suite 900, Charlotte, NC 28202 | 2017-07-26 |
| 1336662543 | Kaitlyn Yandle | Health Educator | 4651 Charlotte Park Dr Ste 300, Charlotte, NC 28217-1916 | 2017-07-19 |
| 1932558582 | Shelly Stith | Health Educator | 10719 Whittersham Dr, Charlotte, NC 28262-9207 | 2016-06-05 |
| 1962886754 | Shakema Morgan | Health Educator | 11227 Grass Field Rd, Charlotte, NC 28213-5885 | 2015-07-12 |
| 1063720712 | Lugenia Grider | Health Educator | 9328 Amy Dr, Charlotte, NC 28213-3765 | 2010-09-15 |
| 1225653736 | Mary Jane Dale | Health Educator | 4651 Charlotte Park Dr Ste 300, Charlotte, NC 28217-1916 | 2020-06-10 |
| 1023668787 | Dawn Linthicum | Health Educator | 5108 Reagan Dr Ste 9, Charlotte, NC 28206-1394 | 2019-09-16 |
| Find all providers in CHARLOTTE | ||||
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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.