FRONTIER HEALTH (NPI# 1699826735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699826735 |
| Entity Type | Organization |
| Organization Name | FRONTIER HEALTH |
| Other Organization Name | SUPPORTIVE LIVING - BRISTOL |
| Practice Address |
498 Industrial Dr Bristol TN 37620-5400 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 4238781600 |
| Practice Fax Number | 4238781606 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2018-10-05 |
| Authorized Official Name | DR. TERESA M KIDD (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4234673600 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | L 3(20)24M6-076- | TN | Agencies |
| Other Name | Type Code |
|---|---|
| Supportive Living - Bristol | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174005276 | Frontier Health | Community/Behavioral Health | 210 Quarry Rd, Johnson City, TN 37601-7580 | 2018-09-05 |
| 1871949123 | Frontier Health | Community/Behavioral Health | 433 New Beason Well Rd, Kingsport, TN 37660-2729 | 2016-05-05 |
| 1871947754 | Frontier Health | Community/Behavioral Health | 321 Possum Creek Rd, Bluff City, TN 37618-3612 | 2016-04-18 |
| 1124463849 | Frontier Health | Psychiatric Residential Treatment Facility | 210 Quary Rd, Johnson City, TN 37601-7580 | 2013-05-08 |
| 1326288093 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2940 Broad St, Bristol, TN 37620-3414 | 2009-02-20 |
| 1871733543 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 801 Arnold Rd, Greeneville, TN 37743-3105 | 2009-02-20 |
| 1144460817 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2301 E Center St, Kingsport, TN 37664-2701 | 2009-02-20 |
| 1417197153 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1113 King Springs Rd, Johnson City, TN 37601-5009 | 2009-02-20 |
| 1265632392 | Frontier Health | Community Based Residential Treatment Facility, Mental Illness | 516 Swadley Rd, Johnson City, TN 37601-9000 | 2007-07-18 |
| 1073735643 | Frontier Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 719 Kentucky Ave, Bristol, TN 37620-3806 | 2007-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | FRONTIER HEALTH | 1941 Park Ave Sw, P.o. Box 1130, Norton, Virginia 24273 |
| Colorado Business Entities | Frontier Health & Wellness, Inc. | 255 Little Park Road, Grand Junction, CO 81507 |
| New York State Corporations | FRONTIER HEALTH AGENTS LLC | 5828 Forest Creek Drive, E Amherst, New York 14051 |
| Washington State Corporations | FRONTIER HEALTH CARE ASSOCIATES INC | 10362 Capistrano Place, Poulsbo, WA 98370 |
| Colorado Business Entities | FRONTIER HEALTH NETWORK | |
| New York State Corporations | FRONTIER HEALTH, CARLINE LAMOUR-OCCEAN, NP IN ADULT HEALTH P.C. | 1975 University Avenue, Bronx, New York 10453 |
| New York State Corporations | FRONTIER HEALTHCARE BILLING SERVICES LLC | 28 Liberty St., New York, New York 10005 |
| North Carolina Corporations | Frontier Healthcare Billing Services LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Oklahoma Business Registrations | FRONTIER HEALTHCARE GROUP, INC. | 324 Goldfinch Dr, Ft Worth, TX 76108 |
| Street Address |
498 INDUSTRIAL DR |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922164599 | Frontier Health | Day Training, Developmentally Disabled Services | 498 Industrial Dr, Bristol, TN 37620-5400 | 2006-12-28 |
| 1568751139 | Vicki Lane Cooper | Counselor | 498 Industrial Dr, Bristol, TN 37620-5400 | 2011-04-04 |
| 1114259215 | Sherry Patrick Musick | Specialist | 498 Industrial Dr, Bristol, TN 37620-5400 | 2010-02-01 |
| 1043548589 | Robin Brooke Jenkins | Specialist | 498 Industrial Dr, Bristol, TN 37620-5400 | 2009-11-20 |
| 1306094172 | Sasha Anette Johnson | Specialist/Technologist, Other | 498 Industrial Dr, Bristol, TN 37620-5400 | 2008-09-04 |
| 1780800201 | Bob Dean Horne | Technician, Other | 498 Industrial Dr, Bristol, TN 37620-5400 | 2007-04-17 |
| 1639293327 | Deborah Nottingham Henninger | Technician, Other | 498 Industrial Dr, Fib, Bristol, TN 37620 | 2007-03-19 |
| 1770607558 | Farrah Dane Stout | Technician, Other | 498 Industrial Dr, Bristol, TN 37620 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347120 | New Horizons Living Center, Inc | Community/Behavioral Health | 523 N Main St Ofc, Bristol, CT 06010-4125 | 2020-05-13 |
| 1043760176 | Barry Salewsky | Community/Behavioral Health | 619 Shelby St, Bristol, TN 37620-2240 | 2016-10-13 |
| 1437568946 | Family Preservation Services, Inc | Community/Behavioral Health | 7741 Rich Valley Rd, Bristol, VA 24202-0439 | 2014-08-08 |
| 1205177433 | Achieving Wellness LLC | Community/Behavioral Health | 254 Mechanic St, Bristol, CT 06010-5475 | 2013-03-13 |
| 1003178211 | Family Preservation Services, Inc. | Community/Behavioral Health | 800 Martin Luther King Jr Blvd, Bristol, VA 24201-4073 | 2012-06-13 |
| 1003143462 | Merakey Bucks County | Community/Behavioral Health | 1411 Morgan St, Bristol, PA 19007-1825 | 2009-11-05 |
| 1801001938 | Bucks County Mental Health Clinic, Inc. | Community/Behavioral Health | 1270 Veterans Hwy, Suite F-10, Bristol, PA 19007-2588 | 2007-05-11 |
| 1255419669 | Family Preservation Services, Inc | Community/Behavioral Health | 13077 Wallace Pike, Bristol, VA 24202-3601 | 2006-11-02 |
| 1508962796 | Apalachee Center Inc | Community/Behavioral Health | 13888 Nw County Road 12, Bristol, FL 32321-3270 | 2006-09-15 |
| 1760955959 | Lenape Valley Foundation | Community/Behavioral Health | 499 Bath Rd, Bristol, PA 19007 | 2019-01-10 |
| Find all providers in BRISTOL | ||||
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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.