PHILLIP S HEDGE (NPI# 1053797217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053797217 |
| Entity Type | Individual |
| Full Name | PHILLIP S HEDGE |
| Credential | FNP |
| Practice Address |
2240 Sutherland Ave Suite 104 Knoxville TN 37919-2333 |
| Mailing Address |
1225 E Weisgarber Rd Suite 200 Knoxville TN 37909-2604 |
| Practice Telephone | 8659090090 |
| Practice Fax Number | 8659099883 |
| Mailing Telephone | 8655844747 |
| Mailing Fax Number | 8655841363 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 186614 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20136 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2240 SUTHERLAND AVE SUITE 104 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145069 | Caroline E Cooley | Internal Medicine | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2005-06-27 |
| 1134653892 | Statcare Outpatient, LLC | Internal Medicine | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 | 2017-04-19 |
| 1639601396 | Newstat LLC | Internal Medicine | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 | 2017-03-31 |
| 1558711879 | Alexandria B Geer | Nurse Practitioner | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2016-06-17 |
| 1306292834 | Lyndsey C Parker | Physician Assistant | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2016-05-13 |
| 1801256193 | Jamie Erin Nuyen | Nurse Practitioner | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2016-02-29 |
| 1801261870 | Megan Ashley Daniels | Physician Assistant | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2015-12-02 |
| 1003289612 | Katie Lynne Styke | Physician Assistant | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2015-11-04 |
| 1447621040 | Sarah C Myers | Physician Assistant | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2015-10-08 |
| 1710357967 | Cheri R Allen | Registered Nurse | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2015-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1598371098 | Angela Ruth Porter | Nurse Practitioner | 333 Huxley Rd, Knoxville, TN 37922-3115 | 2020-09-20 |
| 1326653270 | Khalid Khan | Nurse Practitioner | 9036 Highbridge Dr, Knoxville, TN 37922-1439 | 2020-09-08 |
| 1972117042 | Seth Ingebrigtson | Nurse Practitioner | 4707 Seminole Rd, Knoxville, TN 37918-1548 | 2020-09-04 |
| 1013521285 | Ashley Renee Bonnell | Nurse Practitioner | 2667 Sweeping Rain Ln, Knoxville, TN 37931-3170 | 2020-09-03 |
| 1407460207 | Mofoluwasho Adenekan | Nurse Practitioner | 6100 Stratford Park Blvd, Knoxville, TN 37912-2109 | 2020-08-31 |
| 1790395416 | Jessica Moore | Nurse Practitioner | 232 N Watt Rd, Knoxville, TN 37934-1103 | 2020-08-06 |
| 1598375255 | Abbey Rae Powell | Nurse Practitioner | 10119 Tan Rara Dr, Knoxville, TN 37922-4142 | 2020-08-06 |
| 1194335018 | Jennifer Blair Massaro | Nurse Practitioner | 1424 Whitower Dr, Knoxville, TN 37919-8841 | 2020-08-05 |
| 1194333054 | Sara Ann Dajani | Nurse Practitioner | 7600 Redwood Burl Ln, Knoxville, TN 37931-4183 | 2020-07-16 |
| Find all providers in KNOXVILLE | ||||
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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.