Barbara Ruth Childress, RN
Individual provider Active NPI Registered Nurse · Athens, TN
NPI 1497910426 · NPPES record last updated Jul 18, 2008
Key facts
- NPI
- 1497910426
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN0000159679 (TN)
- Practice address
- 393 County Road 554
Athens, TN 37303-6420 - Phone
- (423) 745-7431
- NPI assigned
- Jul 18, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28148052A | IN | MD | Registered Nurse |
| RN0000159679 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Department of Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0000159679 | TN | Yes |
| Registered Nurse | 163W00000X | 28148052A | IN |
Addresses
Primary practice location
393 County Road 554
Athens, TN 37303-6420
Mailing address
PO Box 665
Athens, TN 37371-0665
Phone (423) 745-7431
Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2008. 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.