SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT (NPI# 1861696163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861696163 |
| Entity Type | Organization |
| Organization Name | SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT |
| Practice Address |
154 Blountville Bypass Blountville TN 37617 |
| Mailing Address |
2228 Broad St Bristol TN 37620-1849 |
| Practice Telephone | 4232797563 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LESLIE MCREYNOLDS (TENNDERCARE COORDINATOR I) |
| Authorized Official Telephone | 4232797563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548708936 | Sullivan County Regional Health Department | Registered Nurse | 1041 E Sullivan St, Kingsport, TN 37660-5242 | 2017-02-06 |
| 1134494297 | Sullivan County Regional Health Department | Registered Nurse | 154 Blountville Byp, Blountville, TN 37617-4575 | 2012-03-21 |
| Street Address |
154 BLOUNTVILLE BYPASS |
| City | BLOUNTVILLE |
| State | TN |
| Zip Code | 37617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487707600 | Jennifer Jane Williams | Nurse Practitioner | 154 Blountville Bypass, Blountville, TN 37617-0630 | 2007-01-19 |
| 1982809935 | Sullivan County Regional | Case Manager/Care Coordinator | 154 Blountville Bypass, Blountville, TN 37663 | 2007-06-19 |
| 1164626412 | Sullivan Health Department | Case Manager/Care Coordinator | 154 Blountville Bypass, Blountville, TN 37617 | 2007-06-12 |
| 1972718468 | Heather Leann Mcelyea | Specialist | 154 Blountville Bypass, Blountville, TN 37617 | 2007-05-10 |
| 1083828016 | Rebecca Brown Wright | Registered Nurse | 154 Blountville Bypass, Blountville, TN 37617 | 2007-05-09 |
| 1154535359 | Alisa Lynne Hearl | Registered Nurse | 154 Blountville Bypass, Blountville, TN 37617 | 2007-05-09 |
| 1518179233 | County of Sullivan | Public Health or Welfare | 154 Blountville Bypass, Blountville, TN 37617 | 2007-05-04 |
| 1124159629 | Judy K Kinkead | Registered Nurse | 154 Blountville Bypass, Blountville, TN 37617-0630 | 2007-03-08 |
| 1588795587 | Victoria Felty Ellis | Licensed Practical Nurse | 154 Blountville Bypass, Blountville, TN 37617 | 2007-03-08 |
| 1568590925 | Rena F Wells | Licensed Practical Nurse | 154 Blountville Bypass, Blountville, TN 37617 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609123231 | Mildred Elaine Denton | Social Worker | 309 South Hollow Rd, Blountville, TN 37617 | 2012-08-14 |
| 1790079010 | Samuel Riddle Jones | Obstetrics & Gynecology | 594 Bill Moody Trail, Blountville, TN 37617 | 2011-06-03 |
| 1720255631 | State of Tennessee | Public Health or Welfare | Highway 126, Blountville, TN 37617 | 2008-05-09 |
| 1194933242 | Deborah E. Vantine | Dental Hygienist | 975 Emergency Drive, Blountville, TN 37617 | 2007-05-21 |
| 1285759902 | Blountville Drug Company | Pharmacy | 3090 Hwy 126, Blountville, TN 37617 | 2007-03-20 |
| 1497890396 | Gina Carolyn Stone | Registered Nurse | 154 Blountville By-pass, Blountville, TN 37617 | 2007-02-20 |
| 1801975362 | David Shannon Fritts | Chiropractor | 1323 Hwy 394, Suite C, Blountville, TN 37617 | 2006-11-03 |
| 1154320687 | Sullivan County Ems | Ambulance | 3193 Highway 126, Blountville, TN 37617 | 2005-07-18 |
| 1073728564 | W2illiam L Devault | Case Manager/Care Coordinator | 154 Blountville By-pass, Blountville, TN 37617 | 2007-05-10 |
| 1689896268 | County of Sullivan | Public Health or Welfare | 975 Emergency Road, Blountville, TN 37617 | 2007-05-03 |
| Find all providers in zip 37617 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982809935 | Sullivan County Regional | Case Manager/Care Coordinator | 154 Blountville Bypass, Blountville, TN 37663 | 2007-06-19 |
| 1164626412 | Sullivan Health Department | Case Manager/Care Coordinator | 154 Blountville Bypass, Blountville, TN 37617 | 2007-06-12 |
| 1073728564 | W2illiam L Devault | Case Manager/Care Coordinator | 154 Blountville By-pass, Blountville, TN 37617 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606755 | Kathy Ann Miller | Case Manager/Care Coordinator | 296 Colony Ln Nw, Cleveland, TN 37312-6411 | 2020-10-14 |
| 1124635941 | Faye G Grubb | Case Manager/Care Coordinator | 338 Headrickview Dr, Maryville, TN 37804-3878 | 2020-09-25 |
| 1255945283 | Vanessa Elaine Davis | Case Manager/Care Coordinator | 2215 Amherst Rd, Knoxville, TN 37921-4902 | 2020-09-08 |
| 1003449166 | Jonathan Hill | Case Manager/Care Coordinator | 310 W 3rd North St Bldg 1, Morristown, TN 37814-4038 | 2020-02-18 |
| 1982246773 | Solutionology Health | Case Manager/Care Coordinator | 3174 Lower Lick Creek Rd, Linden, TN 37096-5314 | 2019-10-13 |
| 1427699537 | Tytiauna Ruffin | Case Manager/Care Coordinator | 3006 Lake Brook Blvd # 1, Knoxville, TN 37909-1137 | 2019-10-01 |
| 1053967356 | Lindsi Blair | Case Manager/Care Coordinator | 601 Arthur St, Knoxville, TN 37921-6406 | 2019-08-13 |
| 1316590201 | James Eugene Jones | Case Manager/Care Coordinator | 312 Brandiwood Ct, Old Hickory, TN 37138-4219 | 2019-07-19 |
| 1891253225 | Jessica L White | Case Manager/Care Coordinator | 600 Arthur St # A, Knoxville, TN 37921-6405 | 2019-03-05 |
| 1972060010 | Gloria Ensign-o'neal | Case Manager/Care Coordinator | 3741 Southbend Dr, Murfreesboro, TN 37128-5100 | 2019-02-25 |
| Find all providers with the same taxonomy | ||||
| City | BLOUNTVILLE |
| Zip Code | 37617 |
Please comment or provide details below to improve the information on SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT.
| 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.