JASON M SHOTTS (NPI# 1700058039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700058039 |
| Entity Type | Individual |
| Full Name | JASON M SHOTTS |
| Practice Address |
210 Simmons St Maryville TN 37801-4750 |
| Mailing Address |
6800 Baum Dr Building 1 Knoxville TN 37919-7315 |
| Practice Telephone | 8653747100 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
210 SIMMONS ST |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316945504 | Kevin Scott Corum | Social Worker | 210 Simmons St, Maryville, TN 37801-4750 | 2005-07-12 |
| 1619500592 | Tyann Elizabeth Herman | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2020-02-19 |
| 1336615699 | Mandee Lynn Carroll | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2018-10-15 |
| 1568943199 | Justinas Joksas | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2018-08-22 |
| 1447751854 | Holly Williams | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2018-02-22 |
| 1023548971 | James Robert Daniel | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2017-06-14 |
| 1063881514 | Gladys Farmer | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2015-09-15 |
| 1558759910 | Hollie Wilder | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2015-01-07 |
| 1386085116 | Marcey Ramos | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2013-07-09 |
| 1700227535 | Tracy Kizer | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2013-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
| 1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
| 1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
| 1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
| 1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
| Find all providers in zip 37801 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1033653167 | Kathleen Ann Puckett | Counselor | 1017 Hampshire Dr, Maryville, TN 37801-3525 | 2016-12-08 |
| 1528426152 | Jesse Williams | Counselor | 200 E Broadway Ave Ste 314b, Maryville, TN 37804-5709 | 2016-02-10 |
| 1326441528 | Kelsey Perkins | Counselor | 6201 W Main St Ste 120, Maryville, IL 62062-6870 | 2014-10-01 |
| 1255753927 | North Star Counseling and Wellness Center | Counselor | 811 Micah St, Maryville, TN 37804-3084 | 2014-01-14 |
| 1851627327 | Jaynie Bradley Moore | Counselor | 315 Home Ave, Maryville, TN 37801-3970 | 2009-10-19 |
| 1699933630 | Mary Ellen Theodore | Counselor | 321 N Munn Ave, Maryville, MO 64468-2146 | 2008-05-27 |
| 1285832725 | Katherine E Bentley-knowles | Counselor | 347 High St, Maryville, TN 37804-5831 | 2007-07-06 |
| 1194879833 | Alicia Drew | Counselor | 2016 Vadalabene Dr Ste A, Maryville, IL 62062-6901 | 2007-01-22 |
| 1053492637 | Melissa D. Frye | Counselor | 1012 E Lamar Alexander Pkwy, Maryville, TN 37804-5132 | 2006-10-18 |
| Find all providers in MARYVILLE | ||||
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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.