EAST TENNESSEE STATE UNIVERSITY (NPI# 1942474762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942474762 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE STATE UNIVERSITY |
| Other Organization Name | CRUMLEY HOUSE |
| Practice Address |
300 Urbana Rd Limestone TN 37681-2824 |
| Mailing Address |
Po Box 70403 Johnson City TN 37614-1703 |
| Practice Telephone | 4234394355 |
| Practice Fax Number | 4234394607 |
| Mailing Telephone | 4234394078 |
| Mailing Fax Number | 4234394060 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-09-11 |
| Authorized Official Name | DAVID D. COLLINS (CFO, VP FINANCE & ADMINISTRATION) |
| Authorized Official Telephone | 4234395884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Crumley House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275902884 | East Tennessee State University | Nurse Practitioner | 1000 N Roan St, Johnson City, TN 37601-4616 | 2015-09-24 |
| 1952785081 | East Tennessee State University | Nurse Practitioner | 3261 Tn 81, Jonesborough, TN 37659 | 2015-07-18 |
| 1982905576 | East Tennessee State University | Clinic/Center | 1134-1136 E. Main Street, Johnson City, TN 37601 | 2010-11-12 |
| 1851526826 | East Tennessee State University | Nurse Practitioner | 306 Forrest Dr, Jonesborough, TN 37659-1550 | 2009-05-20 |
| 1548422330 | East Tennessee State University | Audiologist | 837 Pardee St, Johnson City, TN 37601-5900 | 2008-07-02 |
| 1093990608 | East Tennessee State University | Clinic/Center | 202 W Fairview Ave, Johnson City, TN 37604-5611 | 2008-01-02 |
| 1326142563 | East Tennessee State University | Nurse Practitioner | 391 Court Sq, Sneedville, TN 37869-0723 | 2006-09-08 |
| 1568570273 | East Tennessee State University | Nurse Practitioner | 365 Stout Drive, Nicks Hall Rm 160, Johnson City, TN 37614-6500 | 2006-08-25 |
| 1215045976 | East Tennessee State University | Nurse Practitioner | 2700 Main Street, Sneedville, TN 37869-0723 | 2006-08-25 |
| 1295779361 | East Tennessee State University | Clinic/Center | 1901 S Shady Street, Mountain City, TN 37683-2601 | 2006-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EAST TENNESSEE STATE UNIVERSITY | 2109 W Market St, Johnson City, TN 37604-6024 |
| Street Address |
300 URBANA RD |
| City | LIMESTONE |
| State | TN |
| Zip Code | 37681-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374603 | Laura Funderburk | Doula | 154 Barwick Rd, Limestone, TN 37681 | 2020-10-21 |
| 1326484676 | Barbara C Bast | Physical Therapist | 124 John Reed Rd, Limestone, TN 37681 | 2013-05-14 |
| 1578803565 | Jamila Darwish | Speech-Language Pathologist | 124 John Reed Road, Limestone, TN 37681 | 2013-02-27 |
| 1083913396 | Robin Parks Poget | Speech-Language Pathologist | 124 John Reed Nursing Home Road, Limestone, TN 37681 | 2011-03-25 |
| 1699974386 | Krista Guinn Orr | Occupational Therapist | 124 John M.reed Nursinghome Rd., Limestone, TN 37681 | 2007-07-13 |
| 1669680708 | Margaret Ann Garland | Speech-Language Pathologist | 639 Cannon Road, Limestone, TN 37681 | 2007-05-21 |
| 1467590554 | Joseph Dale Grant | Optometrist | 364 Opie Arnold Road, Limestone, TN 37681-0337 | 2007-02-02 |
| 1053612812 | Donna Glass | Registered Nurse | 5 Pinehurst Ct, Limestone, TN 37681-2342 | 2010-11-10 |
| 1104059914 | Richard Levere Elliott | Specialist | 803 Opie Arnold Rd, Limestone, TN 37681-2431 | 2009-08-26 |
| 1982608428 | James Warner Clark | Family Medicine | 105 Limestone Ruritan Rd, Limestone, TN 37681-2515 | 2005-06-13 |
| Find all providers in zip 37681 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619584067 | Shannon Faulkner | Audiologist | 6211 Robin Hill Rd, Nashville, TN 37205-3525 | 2020-09-29 |
| 1427660471 | Yini Sun | Audiologist | 106 Sylvis St, Dickson, TN 37055-6314 | 2020-08-20 |
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1700402393 | Alexandra Carmichael | Audiologist | 804 N Thompson Ln Ste 1f, Murfreesboro, TN 37129-4338 | 2020-06-19 |
| 1154971414 | Sarah Johnston Wiseman | Audiologist | 2100 Clinch Ave Ste 410, Knoxville, TN 37916-2287 | 2019-09-18 |
| 1518513522 | Katelyn Adrianna Berg | Audiologist | 1215 21st Ave S Ste 9310, Nashville, TN 37232-0014 | 2019-08-15 |
| 1467007971 | Rachel Ann Mccurry-gaudreau | Audiologist | 5544 Franklin Pike Ste 100, Nashville, TN 37220-2104 | 2019-08-02 |
| 1144881806 | Emma Bailey | Audiologist | 6025 Walnut Grove Rd Dept C-1011, Memphis, TN 38120-2131 | 2019-06-24 |
| 1265090542 | Paige Terlizzi Lyon | Audiologist | 3926 Dayton Blvd, Chattanooga, TN 37415-2716 | 2019-06-03 |
| 1629635040 | Virginia Acosta | Audiologist | 1030 Jefferson Ave # 112h, Memphis, TN 38104-2127 | 2019-05-21 |
| 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.