OMNI COMMUNITY HEALTH (NPI# 1881743805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881743805 |
| Entity Type | Organization |
| Organization Name | OMNI COMMUNITY HEALTH |
| Practice Address |
665 South Jefferson Ave Cookeville TN 38501-4011 |
| Mailing Address |
301 S. Perimeter Park Drive Suite 210 Nashville TN 37211-4128 |
| Practice Telephone | 9315280051 |
| Practice Fax Number | 9315820021 |
| Mailing Telephone | 6157263603 |
| Mailing Fax Number | 6158270421 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | MARK JUST (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6157263603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | L 214-017-3653 | TN | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | L 214-017-3653 | TN | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | L 214-017-3653 | TN | Behavioral Health & Social Service Providers |
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
L 214-017-3653 | TN | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
L 214-017-3653 | TN | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | L 214-017- | TN | Nursing Service Providers |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
L 214-017-3653 | TN | Allopathic & Osteopathic Physicians |
| N | 251B00000X | Case Management | L214-017-3 | TN | Agencies |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
L 214-017-3653 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
L 214-017-3653 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q019886 | 05 | |
| TN | 3376955 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316573199 | Omni Community Health | Clinic/Center | 740 Conference Drive, Suite 101, Goodlettsville, TN 37072-2084 | 2020-03-12 |
| 1033572227 | Omni Community Health | Community/Behavioral Health | 4709 Papermill Drive, Suite 101, Knoxville, TN 37909-1928 | 2016-04-04 |
| 1770924284 | Omni Community Health | Clinic/Center | 545 Brandies Circle, Murfreesboro, TN 37128 | 2013-07-12 |
| 1134373970 | Omni Community Health | Case Management | 103 Weakley Creek Road, Suite B, Lawrenceburg, TN 38464-2237 | 2008-11-06 |
| 1730238155 | Omni Community Health | Social Worker | 1420 W. Baddour Parkway, Suite 240, Lebanon, TN 37087-1510 | 2007-01-09 |
| 1437125416 | Omni Community Health | Psychologist | 145 Thompson Lane, Nashville, TN 37211-2411 | 2006-02-28 |
| 1841659232 | Omni Community Health | Clinic/Center | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-02-15 |
| 1316320880 | Omni Community Health | Community/Behavioral Health | 1407 Union Ave, Suite 815, Memphis, TN 38104-3679 | 2015-07-02 |
| 1912306382 | Omni Community Health | Clinic/Center | 145 Thompson Lane, Nashville, TN 37211-2411 | 2014-08-21 |
| 1184870578 | Omni Community Health | Community/Behavioral Health | 2001 Mallory Lane, Suite 300-b, Franklin, TN 37067-8236 | 2008-08-18 |
| Street Address |
665 SOUTH JEFFERSON AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815636 | Ravi Ashokkumar Patel | Counselor | 1819 Summerhaven Ave Apt 1, Cookeville, TN 38501-4919 | 2020-06-08 |
| 1477173045 | Vickie Billiesue Stringer | Counselor | 441 E Broad St Ste I, Cookeville, TN 38501-3390 | 2020-04-23 |
| 1174159354 | Jennifer Paige Seymour | Counselor | 1101 Neal St Ste 101, Cookeville, TN 38501-0917 | 2020-03-19 |
| 1093367518 | Sarah Morgan | Counselor | 320 E Broad St Fl 2, Cookeville, TN 38501-3382 | 2019-07-15 |
| 1669955316 | Charaya Chontay Upton | Counselor | 128 Bilbrey St Apt 1, Cookeville, TN 38506 | 2018-09-10 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1851829402 | Jason Lee Lewis | Counselor | 410 E Spring St Ste E, Cookeville, TN 38501-3791 | 2017-05-26 |
| 1184169567 | Stephanie Karlosky | Counselor | 1747 Lee Seminary Rd, Cookeville, TN 38506-6458 | 2016-12-21 |
| 1538611264 | Tammy Mccoy | Counselor | 4900 Rocky Point Rd, Cookeville, TN 38506 | 2016-10-28 |
| 1821473810 | Star Cowan | Counselor | 2125 N Maple Ave, Cookeville, TN 38501-1481 | 2015-07-20 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on OMNI COMMUNITY HEALTH.
| 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.