SELENA RENEE PEVAHOUSE (NPI# 1063052116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063052116 |
Entity Type | Individual |
Full Name | SELENA RENEE PEVAHOUSE |
Practice Address |
110 Miller Drive Clifton TN 38425 |
Mailing Address |
Po Box 54 Clifton TN 38425-0054 |
Practice Telephone | 7316071007 |
Mailing Telephone | 7316071007 |
Enumeration Date | 2020-01-07 |
Last Update Date | 2020-01-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
26817 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
110 MILLER DRIVE |
City | CLIFTON |
State | TN |
Zip Code | 38425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447266614 | Charles Trevor Brashier | Nurse Practitioner | 133 Main Street, Clifton, TN 38425 | 2006-07-31 |
1417505108 | Bethesda Clinic, LLC | Clinic/Center | 312 Main St., Clifton, TN 38425 | 2019-08-27 |
1952625071 | Brashier Family Medical | Nurse Practitioner | 133 Main St, Clifton, TN 38425 | 2010-03-18 |
1558372375 | Advanced Respiratory Solutions, Inc | Durable Medical Equipment & Medical Supplies | 102 Main Street, Clifton, TN 38425 | 2006-08-10 |
1124034574 | Health Care Development Partners, Inc. | Nurse Practitioner | 133 Main Street, Clifton, TN 38425 | 2006-07-31 |
1851354146 | Christopher John Mayott | Physical Therapist | 1081 Chapel Farm Rd, Clifton, TN 38425-4238 | 2006-04-09 |
1154572857 | Mary Sharee Dean | Nurse Practitioner | 555 Forrest Ave, Clifton, TN 38425-5412 | 2008-10-01 |
1669792172 | Allison Jessica Sems | Physician Assistant | 124 Main St, Clifton, TN 38425-5544 | 2010-06-07 |
1124187802 | Willoughby Drugs | Pharmacy | 104 Main St, Clifton, TN 38425-5544 | 2006-12-08 |
1063660595 | Hardin County Regional Health Center | Clinic/Center | 207 Main St, Clifton, TN 38425-5547 | 2008-09-09 |
Find all providers in zip 38425 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336759877 | Psychcare Health and Wellness | Nurse Practitioner | 600 Getty Ave Ste 208, Clifton, NJ 07011-2161 | 2020-08-07 |
1285884890 | Diane Decarolis | Nurse Practitioner | 605 Grove St, Unit B1, Clifton, NJ 07013-3849 | 2008-09-19 |
1487728622 | Kathleen A Oldfather | Nurse Practitioner | 430 N Coronado Blvd, Clifton, AZ 85533-8086 | 2006-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659972966 | Rebecca Singleton | Nurse Practitioner | 2601 N John B Dennis Hwy Apt 2318, Kingsport, TN 37660-0835 | 2020-11-03 |
1205434503 | Sonya Lavet Butler | Nurse Practitioner | 3413 Axelwood Dr, Murfreesboro, TN 37128-3984 | 2020-10-09 |
1417554361 | John Pearson Redmond | Nurse Practitioner | 1710 Ghost Creek Dr, Collierville, TN 38017-3425 | 2020-10-05 |
1861099061 | Justin Mccord | Nurse Practitioner | 454 Red Hill Center Rd, Lawrenceburg, TN 38464-6842 | 2020-10-01 |
1265049977 | Toya Owens | Nurse Practitioner | 2565 Mackinnon Dr, Memphis, TN 38119-7903 | 2020-09-26 |
1043827041 | Zamaria Davion Louise Gains | Nurse Practitioner | 7405 Shallowford Rd Ste 230, Chattanooga, TN 37421-7632 | 2020-09-24 |
1376158998 | Mary L Dean Turner | Nurse Practitioner | 6727 Stonetrace Dr, Bartlett, TN 38135-3054 | 2020-09-10 |
1205447794 | Sana Pathan | Nurse Practitioner | 829 S Sherbrooke Cir, Mount Carmel, TN 37645-4019 | 2020-08-10 |
1093325557 | Highland Behavioral Healthcare | Nurse Practitioner | 29 Taylor Ave Ste 204, Crossville, TN 38555-4537 | 2020-08-08 |
1225648009 | Angela R Davenport | Nurse Practitioner | 7110 Crossroads Blvd, Brentwood, TN 37027-2826 | 2020-08-05 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SELENA RENEE PEVAHOUSE.
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.