CODI CAINE (NPI# 1801126495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801126495 |
| Entity Type | Individual |
| Full Name | CODI CAINE |
| Credential | CPNP |
| Practice Address |
881 Professional Park Drive Clarksville TN 37040 |
| Practice Telephone | 9316454685 |
| Practice Fax Number | 9312452117 |
| Mailing Telephone | 9316454685 |
| Mailing Fax Number | 9312452117 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APN0000014485 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209.007946 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
881 PROFESSIONAL PARK DRIVE |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366812182 | Janet Schultz | Nurse Practitioner | 11828 Chapel Estates Dr, Clarksville, MD 21029-1168 | 2015-10-06 |
| 1023300787 | Katherine R Harrison | Nurse Practitioner | 800 Weatherly, Suite 201, Clarksville, TN 37043 | 2011-05-12 |
| 1871139162 | Ankith Donthi | Nurse Practitioner | 111 Otis Smith Dr, Otis Smith, Clarksville, TN 37043 | 2019-11-21 |
| 1760954598 | Leigh Ann Canter | Nurse Practitioner | 881 Professional Park Dr, Clarksville, TN 37040-5257 | 2018-12-18 |
| 1821547720 | Camille Carter | Nurse Practitioner | 111 Otis Smith Dr, Clarksville, TN 37043-8940 | 2016-10-03 |
| 1578922811 | Tiara Wright | Nurse Practitioner | 881 Professional Park Dr, Clarksville, TN 37040-5257 | 2016-02-15 |
| 1871958694 | Karen Chaffin | Nurse Practitioner | 800 Weatherly Dr, Suite 201b, Clarksville, TN 37043-8957 | 2015-12-21 |
| 1699162529 | Hannah Louise Wachtmeister | Nurse Practitioner | 881 Professional Park Dr, Clarksville, TN 37040-5257 | 2015-04-17 |
| 1780082685 | Lauren Elizabeth Skibiel | Nurse Practitioner | 111 Otis Smith Dr, Clarksville, TN 37043-8940 | 2014-12-09 |
| 1427347475 | Kelli Edwards Rayford | Nurse Practitioner | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2011-03-30 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on CODI CAINE.
| 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.