COLE DAVID HOFFMAN (NPI# 1992206502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992206502 |
| Entity Type | Individual |
| Full Name | COLE DAVID HOFFMAN |
| Practice Address |
1704 E Broadway Ave Maryville TN 37804-2916 |
| Mailing Address |
201 W Springdale Ave Knoxville TN 37917-5158 |
| Practice Telephone | 8656816990 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| 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 |
1704 E BROADWAY AVE |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033299102 | Sharon N Chastain | Psychiatry & Neurology | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2006-10-16 |
| 1780297002 | Graham Scott Paschall | Social Worker | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-08-26 |
| 1710597463 | Traci Michelle Forsyth | Case Manager/Care Coordinator | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-08-07 |
| 1063030278 | Stephanie Moncrief | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-07-14 |
| 1689292567 | Rachelle Leigh Bennett Baker | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-07-08 |
| 1093330037 | Bryon Edward Hart | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-06-16 |
| 1811522477 | Eden Flanders | Technician, Health Information | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-03-04 |
| 1326679721 | Hillary Stephens Hays | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-02-04 |
| 1558992768 | Becki Grace Livingston | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-01-28 |
| 1932757846 | Tabatha Campbell | Student in an Organized Health Care Education/Training Program | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1033653167 | Kathleen Ann Puckett | Counselor | 1017 Hampshire Dr, Maryville, TN 37801-3525 | 2016-12-08 |
| 1528426152 | Jesse Williams | Counselor | 200 E Broadway Ave Ste 314b, Maryville, TN 37804-5709 | 2016-02-10 |
| 1326441528 | Kelsey Perkins | Counselor | 6201 W Main St Ste 120, Maryville, IL 62062-6870 | 2014-10-01 |
| 1255753927 | North Star Counseling and Wellness Center | Counselor | 811 Micah St, Maryville, TN 37804-3084 | 2014-01-14 |
| 1851627327 | Jaynie Bradley Moore | Counselor | 315 Home Ave, Maryville, TN 37801-3970 | 2009-10-19 |
| 1699933630 | Mary Ellen Theodore | Counselor | 321 N Munn Ave, Maryville, MO 64468-2146 | 2008-05-27 |
| 1285832725 | Katherine E Bentley-knowles | Counselor | 347 High St, Maryville, TN 37804-5831 | 2007-07-06 |
| 1194879833 | Alicia Drew | Counselor | 2016 Vadalabene Dr Ste A, Maryville, IL 62062-6901 | 2007-01-22 |
| 1053492637 | Melissa D. Frye | Counselor | 1012 E Lamar Alexander Pkwy, Maryville, TN 37804-5132 | 2006-10-18 |
| Find all providers in MARYVILLE | ||||
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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.