FREDEREC CLAIBORNE (NPI# 1962887935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962887935 |
| Entity Type | Individual |
| Full Name | FREDEREC CLAIBORNE |
| Practice Address |
930 Mount Zion Rd Union City TN 38261-7695 |
| Mailing Address |
1804 Highway 45 Byp Suite 604 Jackson TN 38305-4436 |
| Practice Telephone | 7318859333 |
| Practice Fax Number | 7316608739 |
| Mailing Telephone | 7316608781 |
| Mailing Fax Number | 7316608739 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
930 MOUNT ZION RD |
| City | UNION CITY |
| State | TN |
| Zip Code | 38261-7695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184770414 | Melinda Brooks | Counselor | 930 Mount Zion Rd, Union City, TN 38261-7695 | 2007-01-27 |
| 1154790566 | Danielle Crews | Case Manager/Care Coordinator | 930 Mount Zion Rd, Union City, TN 38261-7695 | 2015-09-16 |
| 1730573817 | Ashley Mathes | Case Manager/Care Coordinator | 930 Mount Zion Rd, Union City, TN 38261-7695 | 2015-03-26 |
| 1760870604 | Amanda Armstrong | Case Manager/Care Coordinator | 930 Mount Zion Rd, Union City, TN 38261-7695 | 2014-12-30 |
| 1235564808 | Brenda Sue Frilling | Licensed Practical Nurse | 930 Mount Zion Rd, Union City, TN 38261-7695 | 2013-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437540200 | Brandi N Rose | Nurse Practitioner | 1109 E Reelfoot Ave Ste A, Union City, TN 38261 | 2015-02-13 |
| 1750719605 | Hannah V Burke | Nurse Practitioner | 1312 Bishop Street, Union City, TN 38261 | 2013-10-30 |
| 1548413545 | Vip Transpotation | Non-emergency Medical Transport (VAN) | 3888 Ken-tenn Hwy, Union City, TN 38261 | 2008-11-04 |
| 1902052137 | Michelle Davis Hudspeth | Speech-Language Pathologist | 1105 Sunswept Drive, Union City, TN 38261 | 2008-08-07 |
| 1053581744 | Terrell Clinic LLC | Nurse Practitioner | 701 East Reelfoot Ave, Suite 100, Union City, TN 38261 | 2008-03-10 |
| 1275673212 | Kristy Anne Mclaughlin | Counselor | 108 S 1st St, Union City, TN 38261 | 2007-02-07 |
| 1407900970 | Johnny R Miller Dmd Family Dentistry Inc | Dentist | 1209 Russell St, Union City, TN 38261 | 2007-01-22 |
| 1235223017 | Gabriel Paul Sullivan | Dentist | 1007 E Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1003900887 | Gabe Sullivan Dds Plc | Dentist | 1007 East Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1144312521 | Bhekumuzi Mcglen Khumalo | Podiatrist | 1190 E. Reelfoot Ave, Suite D, Union City, TN 38261 | 2006-09-29 |
| Find all providers in zip 38261 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629624796 | Jaslyn Bailey | Counselor | 435 Basildon Cv, Union City, GA 30291-7150 | 2019-08-14 |
| 1881160307 | Juan Antonio Zermeno De Santos | Counselor | 5550 Hillcrest Dr, Union City, GA 30291-1078 | 2018-10-23 |
| 1649794397 | Adella Wooden | Counselor | 7149 Boulder Pass, Union City, GA 30291-5137 | 2017-08-02 |
| 1750755658 | Tatnai Whitehead | Counselor | 3792 Shenfield Dr, Union City, GA 30291-7155 | 2015-11-17 |
| 1497189567 | Robert Jabari Hendrix | Counselor | 7350 Poppy Way, Union City, GA 30291-3410 | 2013-08-26 |
| 1285982231 | Morgan F Green | Counselor | 2420 Clover St, Union City, CA 94587-5320 | 2012-08-23 |
| 1366564700 | Sessen Tekle | Counselor | 32445 Jacklynn Dr, Union City, CA 94587-5122 | 2007-04-05 |
| 1730203001 | Michelle Thi Mai | Counselor | 4611 Cabello St, Union City, CA 94587-4715 | 2007-03-19 |
| 1508901794 | Lawrence Charles Scott Jr. | Counselor | 2966 Flint St, Union City, CA 94587-1619 | 2007-02-21 |
| 1972667905 | George Masaji Nakama | Counselor | 4453 Cabello St, Union City, CA 94587-3928 | 2006-12-21 |
| Find all providers in UNION CITY | ||||
| City | UNION CITY |
| Zip Code | 38261 |
Please comment or provide details below to improve the information on FREDEREC CLAIBORNE.
| 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.