WILLIE PRINGLE (NPI# 1689230021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689230021 |
| Entity Type | Individual |
| Full Name | WILLIE PRINGLE |
| Practice Address |
511 8th St Clarksville TN 37040-3093 |
| Practice Telephone | 9319207200 |
| Mailing Telephone | 2708324947 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
511 8TH ST |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-3093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760456313 | Daniel S Javier | Psychiatry & Neurology | 511 8th St, Clarksville, TN 37040-3093 | 2006-02-13 |
| 1629681754 | Raven Shiraef-green | Case Manager/Care Coordinator | 511 8th St, Clarksville, TN 37040-3093 | 2020-08-28 |
| 1700496650 | Shawn Hunt | Counselor | 511 8th St, Clarksville, TN 37040-3093 | 2020-08-05 |
| 1962026765 | Haley N Crider | Social Worker | 511 8th St, Clarksville, TN 37040-3093 | 2020-06-08 |
| 1447885728 | Taylor Marie Robertson | Social Worker | 511 8th St, Clarksville, TN 37040-3093 | 2020-03-07 |
| 1477187524 | Christopher Michael Egan | Counselor | 511 8th St, Clarksville, TN 37040-3093 | 2020-02-27 |
| 1972143964 | Danielle Renee Drew | Counselor | 511 8th St, Clarksville, TN 37040-3093 | 2020-01-08 |
| 1710529136 | Stacy Dycus | Nurse Practitioner | 511 8th St, Clarksville, TN 37040-3093 | 2019-10-17 |
| 1881248631 | Paula Renee Wallace | Social Worker | 511 8th St, Clarksville, TN 37040-3093 | 2019-07-30 |
| 1285286948 | Amanda Black | Social Worker | 511 8th St, Clarksville, TN 37040-3093 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1891264453 | George Allen Clay | Peer Specialist | 509 S Highland Park Ave, Chattanooga, TN 37404-2932 | 2018-11-13 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1336748375 | Lydia Stoutt | Peer Specialist | 320 W 3rd North St, Morristown, TN 37814-4038 | 2020-10-21 |
| 1730787706 | Trey Lovelace | Peer Specialist | 310 W 3rd North St, Morristown, TN 37814-4038 | 2020-10-13 |
| 1386251684 | Terri L Robinson | Peer Specialist | 205 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-09-30 |
| 1629686068 | Mary Franfces Miller | Peer Specialist | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-07-22 |
| 1053939256 | Meredith Roxanne Cross | Peer Specialist | 17 Ridgeway Rd, Norris, TN 37828-3071 | 2020-07-14 |
| 1184242638 | Misty Lee Matheney | Peer Specialist | 839 Wren Rd, Goodlettsville, TN 37072-2316 | 2020-07-10 |
| 1558989434 | Chasity Hope Galyon | Peer Specialist | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.