BETH ANNE WILES (NPI# 1003462698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003462698 |
| Entity Type | Individual |
| Full Name | BETH ANNE WILES |
| Practice Address |
389 River Rd Decatur TN 37322-7801 |
| Mailing Address |
448 Shady Ln Kingston TN 37763-4512 |
| Practice Telephone | 4233345185 |
| Mailing Telephone | 8653991286 |
| Enumeration Date | 2019-08-10 |
| Last Update Date | 2019-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
25912 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 448 Shady Ln, Kingston, TN 377634512 | 8653991286 |
| Street Address |
389 RIVER RD |
| City | DECATUR |
| State | TN |
| Zip Code | 37322-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275693921 | Larry Gene Crisp | Nurse Practitioner | 389 River Rd, Decatur, TN 37322-0157 | 2006-12-11 |
| 1508372806 | Erika Renee Barnette | Registered Nurse | 389 River Rd, Decatur, TN 37322-7801 | 2017-12-21 |
| 1154739266 | Misti M Ghorley | Registered Nurse | 389 River Rd, Decatur, TN 37322-7801 | 2014-08-01 |
| 1083984223 | Lacey Nicole Dennis | Registered Nurse | 389 River Rd, Decatur, TN 37322-7801 | 2012-01-05 |
| 1750612362 | April Denise Myers | Registered Nurse | 389 River Rd, Decatur, TN 37322-7801 | 2010-01-21 |
| 1194946426 | Katina Nicole Gallaher | Registered Nurse | 389 River Rd, Decatur, TN 37322-7801 | 2007-05-02 |
| 1366589293 | State of Tennessee | Public Health or Welfare | 389 River Rd, Decatur, TN 37322-7801 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225547805 | William Edward Moore | Counselor | 365 S No Pone Valley Road, Decatur, TN 37322 | 2017-09-26 |
| 1518012269 | Decatur Will Sav Inc | Pharmacy | 17619 Hwy 58 N, Decatur, TN 37322 | 2007-01-24 |
| 1053484121 | Manvesh Nath Sinha | Internal Medicine | 305 River Road, Decatur, TN 37322 | 2006-11-16 |
| 1568902922 | Jamie Bird | Nurse Practitioner | 305 River Road, Decatur, TN 37322 | 2017-03-06 |
| 1457475683 | Roger Harrison | Pharmacist | 17619 Hwy 58 N, Decatur, TN 37322 | 2007-03-16 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1730556655 | Johnaca Templeton | Occupational Therapist | 3088 Centerpoint Rd, Decatur, TN 37322-4631 | 2015-08-26 |
| 1457733321 | Melissa Miller | Registered Nurse | 13181 N Nopone Valley Rd, Decatur, TN 37322-4883 | 2015-06-26 |
| 1235689316 | Lori Williams | Health Educator | 572b County Road 188, Decatur, TN 37322-5036 | 2016-10-12 |
| 1902800527 | County of Meigs | Ambulance | 14816 State Highway 58 S, Decatur, TN 37322-5248 | 2005-06-10 |
| Find all providers in zip 37322 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1790383776 | Angela Tope Adeleke | Nurse Practitioner | 3185 Georgian Woods Cir, Decatur, GA 30034-5105 | 2020-10-13 |
| 1417564147 | Jigna Patel | Nurse Practitioner | 1963 Don Juan Ln, Decatur, GA 30032-4218 | 2020-09-27 |
| 1659983856 | Emilie Carsell Mathias | Nurse Practitioner | 2208 N Crossing Way, Decatur, GA 30033-4175 | 2020-08-19 |
| 1275151078 | Tiffanie Marshall Mcguire | Nurse Practitioner | 2042 Beltline Rd Sw Ste B101, Decatur, AL 35601-5571 | 2020-07-08 |
| 1922623610 | Anastasiya A Drogoul | Nurse Practitioner | 2675 N Decatur Rd Ste 404, Decatur, GA 30033-6133 | 2020-06-09 |
| 1174156244 | Anne Marie Strickland | Nurse Practitioner | 3109 Vicksburg Pl Sw, Decatur, AL 35603-3107 | 2020-02-18 |
| 1174161822 | Allison Leanne Hall | Nurse Practitioner | 304 W Hay St Ste 312, Decatur, IL 62526-4170 | 2019-12-12 |
| 1396387866 | Elizabeth Nichole Mathews | Nurse Practitioner | 2301 S Fm 51 Ste 100, Decatur, TX 76234-3864 | 2019-10-16 |
| 1861040479 | Oladunni Funmi Faminu | Nurse Practitioner | 2701 N Decatur Rd # 2400, Decatur, GA 30033-5918 | 2019-08-27 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.