KAREN KAY PEDERSON (NPI# 1962056689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962056689 |
| Entity Type | Individual |
| Full Name | KAREN KAY PEDERSON |
| Practice Address |
111 Deer Trl Nw Cleveland TN 37312-1110 |
| Practice Telephone | 5735521442 |
| Mailing Telephone | 5735521442 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275877003 | Karen Joy Pederson | Physical Therapist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2012-11-16 |
| Street Address |
111 DEER TRL NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215581913 | Gary Duane Pederson | Technician | 111 Deer Trl Nw, Cleveland, TN 37312-1110 | 2019-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| Find all providers in zip 37312 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1851998835 | India Bennett | Technician | 12000 Hastings Rd, Cleveland, OH 44125-4344 | 2020-10-03 |
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1093335564 | Shantel Binford | Technician | 18404 Hiller Ave, Cleveland, OH 44119-1710 | 2020-04-24 |
| 1619510419 | Gwen Burtin | Technician | 9908 Kennedy Ave, Cleveland, OH 44104 | 2019-10-24 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1902223779 | Solutions Hcs LLC | Technician | 540 East 105th Street Ste. 205-a, Glenville Enterprise Center, Cleveland, OH 44108 | 2014-03-18 |
| 1104165000 | Kristin Anne Hill | Technician | 5204 E 254th St, United States, Cleveland, MO 64734-8133 | 2013-02-12 |
| 1215581913 | Gary Duane Pederson | Technician | 111 Deer Trl Nw, Cleveland, TN 37312-1110 | 2019-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566175 | Sandra Forrester | Technician | 1589 Gentry Creek Rd, Laurel Bloomery, TN 37680-4209 | 2020-07-29 |
| 1174141105 | Sherri Frittz-matz | Technician | 550 Trout Run Rd, Mountain City, TN 37683-8034 | 2020-07-07 |
| 1154946242 | Shalena Walton | Technician | 7136 E Chermont Cir, Knoxville, TN 37918-5524 | 2020-06-15 |
| 1194349142 | Barbara Sword | Technician | 105 Cherokee Ave, Church Hill, TN 37642-4514 | 2020-06-05 |
| 1164057618 | Cyndee Tilson | Technician | 6905 Mount Royal Blvd, Knoxville, TN 37918-9759 | 2020-03-05 |
| 1811520315 | Nancy Myers | Technician | 1001 Crest Dr, Jefferson City, TN 37760-3639 | 2020-02-13 |
| 1558994046 | Deborah Peaks | Technician | 2610 Plymouth Rd Apt 213, Johnson City, TN 37601-9302 | 2020-02-13 |
| 1760014542 | Janie Easter | Technician | 400 E Dunn St, Rockwood, TN 37854-2917 | 2020-02-10 |
| 1982236949 | Johnny M Byrge | Technician | 1005 Rose Hill Dr, La Follette, TN 37766-3962 | 2020-02-07 |
| 1992337968 | Jennifer Marie Ingle | Technician | 133 Valley Place Dr, Gray, TN 37615-3759 | 2020-02-07 |
| 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.