Basic Information
Provider Information
NPI: 1114056751
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RHEA
FirstName: KAREN
MiddleName: H
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 40406
Address2: CENTERSTONE
City: NASHVILLE
State: TN
PostalCode: 372040406
CountryCode: US
TelephoneNumber: 6154636659
FaxNumber: 6154636603
Practice Location
Address1: 1101 6TH AVE N
Address2: CENTERSTONE
City: NASHVILLE
State: TN
PostalCode: 372082650
CountryCode: US
TelephoneNumber: 6154636659
FaxNumber: 6154636603
Other Information
ProviderEnumerationDate: 03/02/2007
LastUpdateDate: 01/09/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X9874TNY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0804X9874TNN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

No ID Information.


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