LAURA STOCKDALE (NPI# 1861599334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861599334 |
| Entity Type | Individual |
| Full Name | LAURA STOCKDALE |
| Other Name | LAURA STOCKDALE |
| Credential | PH.D. |
| Practice Address |
305 Westfield Dr Knoxville TN 37919-4824 |
| Mailing Address |
6231 Highland Place Way Ste 101 Knoxville TN 37919-4083 |
| Practice Telephone | 8652642400 |
| Mailing Telephone | 8652642400 |
| Mailing Fax Number | 8655886406 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P0000001492 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3980093 | 05 | |
| TN | RAILROAD MEDICARE | P00106939 | 01 |
| TN | BCBS | 4076563 | 01 |
| Street Address |
305 WESTFIELD DR |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-4824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679527287 | Susan Cohn Koller | Psychologist | 305 Westfield Dr, Knoxville, TN 37919-4824 | 2006-05-19 |
| 1730432444 | Susan Alexandra Healey Harris | Counselor | 305 Westfield Dr, Knoxville, TN 37919-4824 | 2012-10-18 |
| 1215136544 | Katie F. Camenzind | Psychologist | 305 Westfield Dr, Knoxville, TN 37919 | 2007-07-17 |
| 1043415466 | Guy M Edlis | Psychologist | 305 Westfield Dr, Knoxville, TN 37919-4824 | 2007-06-16 |
| 1003934753 | Joanna Rife Williams | Psychologist | 305 Westfield Dr, Knoxville, TN 37919-4824 | 2007-03-27 |
| 1407993892 | Catherine M Grello | Psychologist | 305 Westfield Dr, Knoxville, TN 37919-4824 | 2007-02-01 |
| 1487709499 | Elizabeth Anne Mckee | Psychologist | 305 Westfield Dr, Knoxville, TN 37919-4824 | 2007-01-23 |
| 1508924440 | Marilyn Roberta Pollio | Psychologist | 305 Westfield Dr, Knoxville, TN 37919-4824 | 2006-12-04 |
| 1538246749 | Vance Robert Sherwood | Psychologist | 305 Westfield Dr, Knoxville, TN 37919-4824 | 2006-11-01 |
| 1043307911 | Nancy J. Lett | Psychologist | 305 Westfield Dr, Knoxville, TN 37919-4824 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513890 | Elizabeth Katharine Collier Baker | Psychologist | 1800 Volunteer Blvd Fl 2, Knoxville, TN 37996-4522 | 2020-03-20 |
| 1275093304 | Marisa Whitley | Psychologist | 9217 Park West Blvd Ste D1, Knoxville, TN 37923-4420 | 2019-03-24 |
| 1265991673 | Michael Sanders | Psychologist | 100 Forest Ct, Knoxville, TN 37919-5079 | 2019-03-15 |
| 1407385289 | Savanna Nye Shepherd | Psychologist | 1128 E Weisgarber Rd Suite 210, Knoxville, TN 37909-2674 | 2017-06-06 |
| 1386014488 | Andrew Frazer | Psychologist | 1111 N. Northshore Dr., South Tower, Suite 490, Knoxville, TN 37919-2865 | 2015-10-01 |
| 1699142679 | James F Murray Phd Pllc | Psychologist | 4722 Old Kingston Pike, Knoxville, TN 37919-5206 | 2015-08-26 |
| 1033509369 | Kathryn Perkel | Psychologist | 1506 Callahan Dr, Knoxville, TN 37912-1207 | 2015-01-26 |
| 1093118754 | Amanda Surdock | Psychologist | 162d Market Place Blvd, Knoxville, TN 37922-2337 | 2014-10-08 |
| 1811322241 | Kristin Nicole Lewis | Psychologist | 310 N Forest Park Blvd, Suite 202, Knoxville, TN 37919 | 2013-09-04 |
| 1497910293 | Diana Lynn Mccoy | Psychologist | 5019 Jacksboro Pike, Knoxville, TN 37918 | 2008-07-22 |
| Find all providers in KNOXVILLE | ||||
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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.