1306002860

Everything you always wanted to know about ELLIS SMITH DUSTIN but were afraid to ask.

ELLIS SMITH DUSTIN

You can also download the this 1306002860 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name
ELLIS SMITH DUSTIN
Gender:
Male
Enumeration date:
2008-08-04
Last update date:
2008-08-04
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
171M00000X Case Manager/Care Coordinator none none Y

Phone Numbers

Type Number
Mailing Address Telephone Number 6153760034
Practice Location Address Telephone Number 6153760034
Mailing Address Fax Number 6153763488
Practice Location Address Fax Number 6153763488

Addresses

Type Address City State Postal Country
Mailing Address 500 WILSON PIKE CIR SUITE 320 BRENTWOOD TN 37027 TN
Practice Location Address 500 WILSON PIKE CIR SUITE 320 BRENTWOOD TN 37027 TN

Other NPI Records that share a phone number

NPI Name Address State City
1003194267 KLIBBE, BRIANNE
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6515 HOLT RD TN NASHVILLE
1013297738 MCLEOD, ELIZABETH
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6515 HOLT RD TN NASHVILLE
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1215348016 BIRCH, DEREK
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1245577717 MARTINEZ, MICHELLE
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500 WILSON PIKE CIR TN BRENTWOOD
1427213735 MCMILLIAN, CHRISTINA
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1467728071 JIRON, FLORIBELL
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6515 HOLT RD TN NASHVILLE
1467799817 WEBB, JENNIFER
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1487005849 MAIER, KELLY
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6515 HOLT RD TN NASHVILLE
1497166599 COKER, CARISSA
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6515 HOLT RD TN NASHVILLE
1518113497 MILLIKEN, KIMBERLY
Individual
500 WILSON PIKE CIR TN BRENTWOOD
1558625442 AUTISM FOUNDATION OF TENNESSEE
Organization
6515 HOLT RD TN NASHVILLE
1568783827 FLETCHER, RYAN
Individual
500 WILSON PIKE CIR TN BRENTWOOD
1588901052 MINOR, ELVIRA
Individual
190 HATCHER LN TN CLARKSVILLE
1598002057 GOINS, KATRINA
Individual
190 HATCHER LN TN CLARKSVILLE
1598002065 MOON, HEATHER
Individual
190 HATCHER LN TN CLARKSVILLE
1598209181 ZIOLKO, KAYLA
Individual
161 HATCHER LN TN CLARKSVILLE
1619132917 AUTISM FOUNDATION OF TENNESSEE
Organization
6515 HOLT ROAD TN NASHVILLE
1629413315 AUTISM FOUNDATION OF TENNESSEE
Organization
6515 HOLT RD TN NASHVILLE
1649558669 ROCHESTIE, ASHLEY
Individual
6515 HOLT RD TN NASHVILLE
1669764858 LEE, JOHANNA
Individual
500 WILSON PIKE CIR TN BRENTWOOD
1740796192 VON AHNEN, STEPHANIE
Individual
6515 HOLT RD TN NASHVILLE
1760762488 CLARK, ASHLEY
Individual
6515 HOLT RD TN NASHVILLE
1770732174 BURK, FELICIA
Individual
500 WILSON PIKE CIR TN BRENTWOOD
1871824680 WARPOOL, JESSICA
Individual
6515 HOLT RD TN NASHVILLE
1871830323 AUTISM FOUNDATION OF TENNESSEE
Organization
190 HATCHER LN TN CLARKSVILLE

Other NPI Records that share an address

NPI Name Address State City
1134384449 COUNTS, VICTORIA
Individual
500 WILSON PIKE CIR TN BRENTWOOD
1194023176 LAPAGLIA, MICHAEL
Individual
500 WILSON PIKE CIR TN BRENTWOOD
1336374982 BATEMAN, CASEY
Individual
500 WILSON PIKE CIR TN BRENTWOOD
1427213735 MCMILLIAN, CHRISTINA
Individual
500 WILSON PIKE CIR TN BRENTWOOD
1518113497 MILLIKEN, KIMBERLY
Individual
500 WILSON PIKE CIR TN BRENTWOOD
1568783827 FLETCHER, RYAN
Individual
500 WILSON PIKE CIR TN BRENTWOOD
1669764858 LEE, JOHANNA
Individual
500 WILSON PIKE CIR TN BRENTWOOD
1710103734 DODD, ELAINE
Individual
500 WILSON PIKE CIR TN BRENTWOOD
1770732174 BURK, FELICIA
Individual
500 WILSON PIKE CIR TN BRENTWOOD
1871710590 MASLYN, VICTORIA
Individual
500 WILSON PIKE CIR TN BRENTWOOD