MR. JAY ANTHONY PASSMORE (NPI# 1063804532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063804532 |
| Entity Type | Individual |
| Full Name | MR. JAY ANTHONY PASSMORE |
| Credential | MSN |
| Practice Address |
2305 Chambliss Ave Nw Cleveland TN 37311-3847 |
| Practice Telephone | 4235596000 |
| Mailing Telephone | 4235596000 |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2016-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WF0300X |
Registered Nurse Specialization: Flight |
132749 | TN | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 19928 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2305 CHAMBLISS AVE NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-3847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329845 | Howard Kenton Hamilton | Radiology | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2005-07-07 |
| 1710592035 | Jessica Marie Rose | Registered Nurse | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-09-14 |
| 1518580893 | Cleveland Tennessee Hospital Company LLC | Medicare Defined Swing Bed Unit | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-05-21 |
| 1093345134 | Megan Randolph Justice | Specialist/Technologist, Other | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-01-16 |
| 1922565282 | Nicholas Alexander Taylor | Physician Assistant | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2019-02-22 |
| 1720580582 | Zachary Ryan Brown | Physician Assistant | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2018-03-07 |
| 1386193803 | Barratt Lee Schichtel | Nurse Practitioner | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2016-09-26 |
| 1740630243 | Matthew Shachner | Anesthesiology | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2016-06-15 |
| 1740649706 | Jennifer Hinds | Physician Assistant | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2016-02-18 |
| 1760866735 | Ahmadur Rahman Siddiqui | Internal Medicine | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2015-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121042 | Madelyn Suzanne Yacavino | Nurse Practitioner | 1229 W 70th St, Cleveland, OH 44102-2017 | 2020-07-16 |
| 1972139590 | Ciara Kessler | Nurse Practitioner | 10685 Carnegie Avenue, Cleveland, OH 44195-0001 | 2020-03-15 |
| 1700411568 | Mallory Spieth | Nurse Practitioner | 9600 Euclid Ave, Cleveland, OH 44195-0001 | 2020-03-11 |
| 1912540543 | Lyndsey Rachelle Kytta | Nurse Practitioner | 5420 Saint Stephens Ct, Cleveland, OH 44102-3200 | 2019-10-27 |
| 1649829730 | Ashley Johnson | Nurse Practitioner | 770 Stuart Rd Ne, Cleveland, TN 37312-5080 | 2019-09-10 |
| 1821642422 | Ashley Nicole Sutkowski | Nurse Practitioner | 9500 Euclid Ave # J1-5, Cleveland, OH 44195-0001 | 2019-07-31 |
| 1063979656 | Kimberly Jones | Nurse Practitioner | 9500 Euclid Ave # Deskj82, Cleveland, OH 44195-0001 | 2019-03-01 |
| 1255804019 | Kerri Hopkins | Nurse Practitioner | 3913 Georgetown Rd Nw, Cleveland, TN 37312-1806 | 2019-01-04 |
| 1124595749 | Natalie Wolters Gery | Nurse Practitioner | 2253 Chambliss Ave Nw Ste 2012, Cleveland, TN 37311-3861 | 2018-11-01 |
| 1477039113 | Rachel Wolff | Nurse Practitioner | 1001 Lakeside Ave E Ste 100, Cleveland, OH 44114-1172 | 2018-07-16 |
| Find all providers in CLEVELAND | ||||
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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.