MRS. SHASTA WILKES CORRAL (NPI# 1750724456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750724456 |
| Entity Type | Individual |
| Full Name | MRS. SHASTA WILKES CORRAL |
| Other Name | SHASTA WILKES JONES |
| Credential | M.ED. |
| Practice Address |
10731 Chapman Hwy Seymour TN 37865-4765 |
| Mailing Address |
6350 W Andrew Johnson Hwy Department 100 Talbott TN 37877-8605 |
| Practice Telephone | 8655730698 |
| Practice Fax Number | 8655733174 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
10731 CHAPMAN HWY |
| City | SEYMOUR |
| State | TN |
| Zip Code | 37865-4765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053357608 | David F Hassell | Family Medicine | 10731 Chapman Hwy, Seymour, TN 37865-4765 | 2006-06-21 |
| 1841808417 | Amanda Louise Grover | Nurse's Aide | 10731 Chapman Hwy, Seymour, TN 37865-4765 | 2020-07-20 |
| 1568080091 | Rebecca Catherine Skadberg | Student in an Organized Health Care Education/Training Program | 10731 Chapman Hwy, Seymour, TN 37865-4765 | 2020-07-10 |
| 1154979359 | Donald Lance Ward | Nurse Practitioner | 10731 Chapman Hwy, Seymour, TN 37865-4765 | 2019-08-30 |
| 1619529328 | Nicole Jamilah Fleischer | Student in an Organized Health Care Education/Training Program | 10731 Chapman Hwy, Seymour, TN 37865-4765 | 2019-07-12 |
| 1003386848 | Susan Rowlett | Registered Nurse | 10731 Chapman Hwy, Seymour, TN 37865-4765 | 2018-12-04 |
| 1235609488 | Debra Ann Mccarley | Licensed Practical Nurse | 10731 Chapman Hwy, Seymour, TN 37865-4765 | 2018-11-30 |
| 1205311958 | Sarah Michelle Dulaney | Nurse's Aide | 10731 Chapman Hwy, Seymour, TN 37865-4765 | 2018-09-28 |
| 1790269421 | Shelly Lynn Cato | Registered Nurse | 10731 Chapman Hwy, Seymour, TN 37865-4765 | 2018-09-19 |
| 1639655053 | Traci Marie Prater | Licensed Practical Nurse | 10731 Chapman Hwy, Seymour, TN 37865-4765 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790285492 | Southeast Behavioral Services | Behavioral Analyst | 10721 Chapman Hwy Ste 22, Seymour, TN 37865 | 2018-02-19 |
| 1932645884 | Emma Love Gilmartin | Physician Assistant | 11606 Chapman Hwy Ste 2, Seymour, TN 37865 | 2017-01-17 |
| 1295065209 | Angela Kay Phifer | Acupuncturist | 10339 Chapman Hwy, Unit 2, Seymour, TN 37865 | 2010-01-14 |
| 1154596286 | Southeast Oral Surgery PC | Dentist | 11548 Chapman Hwy, Seymour, TN 37865 | 2008-04-29 |
| 1639358278 | Marta Finnegan | Case Manager/Care Coordinator | 1016 I.c. King Rd, Seymour, TN 37865 | 2007-10-31 |
| 1053590695 | Mary D Headrick | Registered Nurse | 1016 I. C. King Rd, Brookhaven Retreat, Seymour, TN 37865 | 2007-10-31 |
| 1225217706 | Melissa L Blaque | Case Manager/Care Coordinator | 1016 I.c. King Rd., Brookhaven Retreat, Seymour, TN 37865 | 2007-10-31 |
| 1841479318 | Ilene L Graham | Licensed Practical Nurse | 1061 I.c. King Rd., Brookhaven Retreat, Seymour, TN 37865 | 2007-10-31 |
| 1851597272 | Bethany Ann Thomas | Dentist | 119 Maryville Highway, Suite B, Seymour, TN 37865 | 2007-06-22 |
| 1881800175 | Eric D Lee | Pharmacist | 1125 Creekside Village Way, Seymour, TN 37865 | 2007-05-15 |
| Find all providers in zip 37865 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053772038 | Myriam Mccray | Counselor | 322 Dupont Dr, Seymour, IN 47274-1723 | 2016-03-17 |
| 1053746784 | Patrick Keenan | Counselor | 115 Main St Ste 10, Seymour, CT 06483-3138 | 2013-09-12 |
| 1144430919 | Michael Kolpinski | Counselor | 196 Walnut St, Seymour, CT 06483-3629 | 2007-05-23 |
| 1124581178 | Patrick M. Keenan, Pllc | Counselor | 115 Main St Ste 10, Seymour, CT 06483-3138 | 2019-04-08 |
| 1184103772 | Ashley Rae Tessier | Counselor | 276 Bank St, Seymour, CT 06483-2700 | 2018-08-14 |
| 1922425347 | Integrative Therapies LLC | Counselor | 276 Bank St, Seymour, CT 06483-2700 | 2014-03-24 |
| 1467877449 | Michael Kolpinski, Lpc | Counselor | 196 Walnut St, Seymour, CT 06483-3629 | 2014-02-27 |
| 1073761623 | Misty Goffena | Counselor | 415 S Walnut St, Ste. 215, Seymour, IN 47274-2991 | 2008-09-08 |
| 1912114570 | Francine Gucciardo Messier | Counselor | 276 Bank St, Seymour, CT 06483-2700 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497508 | Emily Hand | Counselor | 1200 Southwest Ave, Johnson City, TN 37604-6520 | 2020-11-08 |
| 1629678909 | Jared S. Fuson | Counselor | 104 John Sevier Ave, Jonesborough, TN 37659-1402 | 2020-10-27 |
| 1629677307 | Samantha Kate Wacenske | Counselor | 1925 Ashland City Rd Apt 1422, Clarksville, TN 37043-1610 | 2020-10-22 |
| 1407454291 | Candis Maria Cochran | Counselor | 10740 Faith Promise Ln, Knoxville, TN 37931-1304 | 2020-10-14 |
| 1083211429 | Pamela Christine Lamb | Counselor | 7985 Greenbriar Rd, Talbott, TN 37877-8906 | 2020-10-08 |
| 1528665148 | Kathryn Rose Wood | Counselor | 1220 Harwood Dr Apt B, Nashville, TN 37206-1207 | 2020-10-06 |
| 1356948509 | Meagan H Jones | Counselor | 3328 Mallard Dr, Clarksville, TN 37042-4754 | 2020-10-01 |
| 1144836404 | Walter J. Green | Counselor | 1120 Mossy Knoll Dr, Cordova, TN 38018-6671 | 2020-09-21 |
| 1114533858 | Sarah Anne May | Counselor | 711 Signal Mountain Rd # 241, Chattanooga, TN 37405-1823 | 2020-09-18 |
| 1871109694 | Shayla Johnson-bunion | Counselor | 2563 Rosalee Ct, Antioch, TN 37013-3049 | 2020-09-17 |
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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.