Samantha Nicole Gent, CNA
Individual provider Active NPI Nurse's Aide · New Tazewell, TN
NPI 1578084174 · NPPES record last updated Jul 5, 2017
Key facts
- NPI
- 1578084174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 00173136 (TN)
- Practice address
- 620 Davis Dr
New Tazewell, TN 37825-2152 - Phone
- (423) 626-4291
- Fax
- (423) 626-2525
- NPI assigned
- Jul 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 00173136 | TN | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Tennessee | Past | Accepting new patients | |
| State of Tennessee | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 00173136 | TN | Yes |
Addresses
Primary practice location
620 Davis Dr
New Tazewell, TN 37825-2152
Mailing address
2006 Highway 113
Whitesburg, TN 37891-2213
Phone (423) 307-0089
Other providers in New Tazewell, TN
- Bethany Joelle Evans
- Fast Pace Medical Clinic PLLC
- Fast Pace Medical Clinic PLLC
- Kayla Fortenberry
- April Dawn Fultz
- Melody Gilliam
- Britney Monique Goins
- Bethany Nicole Good
- Madison Lee Graham
- Samantha Lynn Gray
All providers in New Tazewell, TN · Nurse's Aide in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2017. 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.