Gayle Archer
Individual provider Active NPI Personal Care Attendant · Smithville, TN
NPI 1487969879 · NPPES record last updated Aug 10, 2010
Key facts
- NPI
- 1487969879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- License
- 1000000006161 (TN)
- Practice address
- 2323 Students Home Rd
Smithville, TN 37166-7736 - Phone
- (615) 215-8033
- Fax
- (615) 215-8033
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000000006161 | TN | MD | Personal Care Attendant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 1000000006161 | TN | Yes |
Addresses
Primary practice location
2323 Students Home Rd
Smithville, TN 37166-7736
Mailing address
2323 Students Home Rd
Smithville, TN 37166-7736
Phone (615) 215-8033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H445428 | Medicaid | TN |
Other providers in Smithville, TN
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- Elisa N Allen
- Linda L Allison
- Melody Anderson
- Robert R Atnip
- Jason A Austin
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- Johnny D Ball
- Daniel Jefferson Barnes
All providers in Smithville, TN · Personal Care Attendant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.