MR. TIMOTHY MARK WIDENER (NPI# 1972069441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972069441 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY MARK WIDENER |
| Practice Address |
6020 Lyons View Pike Knoxville TN 37919-6214 |
| Mailing Address |
201 W Springdale Ave Knoxville TN 37917-5158 |
| Practice Telephone | 8652461420 |
| Practice Fax Number | 8652461422 |
| Mailing Telephone | 8656379711 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374700000X | Technician | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619312824 | Timothy Widener | Emergency Medicine | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2013-05-01 |
| Street Address |
6020 LYONS VIEW PIKE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-6214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861856973 | William Mcamis | Case Manager/Care Coordinator | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2016-04-06 |
| 1376156745 | Alexandria Keller | Student in an Organized Health Care Education/Training Program | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2020-08-26 |
| 1003426131 | Kristy Stewart | Behavior Technician | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2020-08-04 |
| 1366068603 | Morgan Kristen Mullins | Behavior Technician | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2020-06-23 |
| 1295356749 | Alexandria Mullen | Counselor | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2020-05-06 |
| 1598386609 | Ashley Nashai Mills | Counselor | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2020-04-29 |
| 1255967717 | Candice Amber Mcmillan | Counselor | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2020-03-17 |
| 1265090161 | Alyssa Lee Elizabeth Fares | Behavior Technician | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2019-06-05 |
| 1225696131 | Rachel Nicole Sitton | Behavior Technician | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2019-06-05 |
| 1144887902 | Chelsea Lynn Josey | Counselor | 6020 Lyons View Pike, Knoxville, TN 37919-6214 | 2019-05-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
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| Taxonomy Code | 374700000X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear. |
| Notes: Sources: (1) Rhea, Ott, and Shafritz, The Facts on File Dictionary of Health Care Management, New York: Facts on File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition, Philadelphia: W.B. Saunders Company, 1981 and Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1984. (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. 776. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983571 | Amanda Kay Therriault | Technician | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2019-10-09 |
| 1053977090 | Christopher Shawn Bolden | Technician | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2019-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508407248 | Donna Ruth Sumpter | Technician | 9 N 2nd St Apt 1007, Memphis, TN 38103-2662 | 2019-10-03 |
| 1558929430 | Madison Steppee | Technician | 167 Irvin Steppee Ln, Cumberland City, TN 37050-7032 | 2019-06-05 |
| 1730514167 | Angelina Clarise Gay | Technician | 2011 Foxfire Rd Ne, Cleveland, TN 37323-5740 | 2013-09-04 |
| 1952444671 | Martha Michelle Mccormick | Technician | 24 Holliman Ln, Carthage, TN 37030-2315 | 2007-02-14 |
| 1588204978 | Speciose Nyiramana | Technician | 905 Creekedge Ct, Antioch, TN 37013-4268 | 2020-01-14 |
| 1538709282 | Raven Michelle Milner | Technician | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-01-10 |
| 1972150589 | David Lynn Beason Jr. | Technician | 100 Adams Ln, Oak Ridge, TN 37830-4909 | 2019-08-20 |
| 1003257262 | Kecia Love-peyton | Technician | 311 23rd Ave N, Nashville, TN 37203-1503 | 2013-07-16 |
| 1447691605 | Chiquita Renee Hines | Technician | 311 23rd Ave N, Nashville, TN 37203-1503 | 2013-07-16 |
| 1023459286 | Stephanie Nicole Whitesell | Technician | 311 23rd Ave N, Nashville, TN 37203-1503 | 2013-07-16 |
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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.