INTEGRITAS OF TENNESSEE, LLC (NPI# 1942342712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942342712 |
| Entity Type | Organization |
| Organization Name | INTEGRITAS OF TENNESSEE, LLC |
| Practice Address |
5580 Roane State Hwy Rockwood TN 37854-4332 |
| Mailing Address |
2979 Pga Blvd Palm Beach Gardens FL 33410-2911 |
| Practice Telephone | 8653543366 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAUL WALCZAK (MANAGING MEMBER) |
| Authorized Official Telephone | 5616263300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3723218 | 05 |
| Street Address |
5580 ROANE STATE HWY |
| City | ROCKWOOD |
| State | TN |
| Zip Code | 37854-4332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417936915 | Hqm of Rockwood, LLC | Skilled Nursing Facility | 5580 Roane State Hwy, Rockwood, TN 37854-4332 | 2006-01-12 |
| 1417194291 | Jerry Harold Constance | Social Worker | 5580 Roane State Hwy, Rockwood, TN 37854-4332 | 2009-01-15 |
| 1295926582 | Lp Rockwood LLC | Skilled Nursing Facility | 5580 Roane State Hwy, Rockwood, TN 37854-4332 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245500917 | Assurance Professional Billing Services | Specialist | 236 Burke Mill Rd, Rockwood, TN 37854 | 2012-01-11 |
| 1639407489 | Robert Sloan Hicks Jr. | Pharmacist | 225 West Rockwood St., Live and Let Live Drug Store, Rockwood, TN 37854 | 2009-12-04 |
| 1255477741 | Janet Eldridge Isham | Licensed Practical Nurse | 1362 N. Gateway Ave, Rockwood, TN 37854 | 2007-01-30 |
| 1154439271 | James Larry Brewer | Dentist | 1124 N Gateway Ave, Rockwood, TN 37854 | 2006-08-28 |
| 1750808093 | Cynthia Dawn Clark | Nurse Practitioner | 1420 N Gateway Ave, Rockwood, TN 37854 | 2017-08-28 |
| 1568772754 | Summit Medical Group, Pllc | Internal Medicine | 1420 North Gateway Ave, Rockwood, TN 37854 | 2010-10-21 |
| 1841348547 | Darrell Eugene Cates Jr. | Dentist | 1546 Gateway Ave., Rockwood, TN 37854-0003 | 2007-01-08 |
| 1033264411 | Sherry G Hill | Pharmacist | 225 W Rockwood St, Rockwood, TN 37854-2243 | 2007-01-24 |
| 1487003455 | Live and Let Live Drug Store, Inc | Durable Medical Equipment & Medical Supplies | 225 W Rockwood St, Rockwood, TN 37854-2243 | 2016-06-09 |
| 1851434666 | Jessica Ruthanne Kilgore | Pharmacist | 225 W Rockwood St, Rockwood, TN 37854-2243 | 2007-02-14 |
| Find all providers in zip 37854 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750808093 | Cynthia Dawn Clark | Nurse Practitioner | 1420 N Gateway Ave, Rockwood, TN 37854 | 2017-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204038 | Ann Clare Guest | Nurse Practitioner | 1483 Goodbar Ave, Memphis, TN 38104-4912 | 2020-10-28 |
| 1770183055 | Paige Sellers | Nurse Practitioner | 104 Colbert Way, Nashville, TN 37206-1052 | 2020-10-27 |
| 1487253035 | John Dowlen | Nurse Practitioner | 808 Danbury Cove Pl, Signal Mountain, TN 37377-1777 | 2020-10-23 |
| 1144829839 | Douglas Arthur Mcinnis Jr. | Nurse Practitioner | 7464 River Road Pike, Nashville, TN 37209-5729 | 2020-10-22 |
| 1225636871 | Natalie Scott | Nurse Practitioner | 144 Gail Dr, Hendersonville, TN 37075-3494 | 2020-10-15 |
| 1952908154 | Courtney Diane Vance | Nurse Practitioner | 936 Station View Rd, Knoxville, TN 37919-2034 | 2020-10-01 |
| 1093322042 | Meghan Nicole Adams | Nurse Practitioner | 1508 Carl Adams Dr Unit 200, Murfreesboro, TN 37129-4375 | 2020-09-24 |
| 1871108092 | Kimberly Jean Palmer | Nurse Practitioner | 6940 Millersburg Rd, Christiana, TN 37037-5708 | 2020-09-14 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1154936946 | Allyson Escott Dormois | Nurse Practitioner | 130 Flicker St, Memphis, TN 38104-5928 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
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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.