HALEY HENARD DEBUSK (NPI# 1083169171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083169171 |
| Entity Type | Individual |
| Full Name | HALEY HENARD DEBUSK |
| Credential | PA |
| Practice Address |
424 N. Broad Street New Tazwell Tazewell TN 37825 |
| Practice Telephone | 4232575700 |
| Practice Fax Number | 8653742200 |
| Mailing Telephone | 4232575700 |
| Mailing Fax Number | 8653742200 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q024690 | 05 |
| Street Address |
424 N. BROAD STREET NEW TAZWELL |
| City | TAZEWELL |
| State | TN |
| Zip Code | 37825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801131610 | Emma Hernandez Tenerife | Physical Therapist | 505 Buchanan Road, New Tazewell, TN 37825 | 2012-12-05 |
| 1295959021 | Melvin Keith Donesky | Dentist | 212 Forrest Ave., New Tazewell, TN 37825 | 2007-04-12 |
| 1962533059 | Lisa Ann Mayes | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-08 |
| 1679505937 | James P Crutchfield | Optometrist | 409 N Broad St, New Tazewell, TN 37825 | 2006-07-07 |
| 1497257984 | Selena Frazier | Speech-Language Pathologist | 902 Buchanan Rd, New Tazewell, Tn, TN 37825 | 2018-03-01 |
| 1891211165 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 915 Main St, New Tazewell, TN 37825 | 2017-08-18 |
| 1508154055 | Dr.melvin Donesky D.d.s. | Dentist | 212 Forrest Ave., New Tazewell, TN 37825 | 2011-07-19 |
| 1437488350 | William Herbert Brooks | Licensed Practical Nurse | 1596 Highway 33 South, New Tazewell, TN 37825 | 2009-12-24 |
| 1366680423 | Jessica Broyles | Dietitian, Registered | 620 Davis Dr, New Tazewell, TN 37825 | 2009-01-28 |
| 1023297124 | Kay Rose | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-10-25 |
| Find all providers in zip 37825 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912309725 | Sadril Mohammad | Physician Assistant | 1754 N Broad St, Tazewell, TN 37879-4365 | 2014-09-24 |
| 1942632245 | Tristen Amber Pack | Physician Assistant | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2013-08-08 |
| 1073554523 | Idella Johnson | Physician Assistant | 1610 Tazewell Rd, Suite 201, Tazewell, TN 37879-3600 | 2006-06-08 |
| 1992752497 | Anthony Darrell Loope | Physician Assistant | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737354 | Adrienne Smith | Physician Assistant | 5200 Park Ave Ste 100, Memphis, TN 38119-3505 | 2020-10-12 |
| 1417555459 | Kaitlyn Jones | Physician Assistant | 1229 Reserve Blvd Ste 200, Spring Hill, TN 37174-3274 | 2020-10-12 |
| 1861099491 | Caraline Berlynn Mcdowell | Physician Assistant | 284 Clearlake Dr W, Nashville, TN 37217-4547 | 2020-10-06 |
| 1508463365 | Logan Curran Martin | Physician Assistant | 5431 Edmondson Pike # 10, Nashville, TN 37211-5806 | 2020-10-05 |
| 1487261798 | Charity Grace Coppedge | Physician Assistant | 105 Twin Oaks Dr, Nashville, TN 37211-2765 | 2020-09-30 |
| 1316554884 | Brianna Bingham | Physician Assistant | 619 Blizzard Mines Rd, Harriman, TN 37748-3852 | 2020-09-28 |
| 1871100586 | Emily Philpott | Physician Assistant | 905 20th Ave S Apt 1306, Nashville, TN 37203-2672 | 2020-09-27 |
| 1063028876 | Emma Landers | Physician Assistant | 1534 Douglas Ave, Nashville, TN 37206-2309 | 2020-09-17 |
| 1730795527 | Melanie Rees | Physician Assistant | 111 33rd Ave S Apt 102, Nashville, TN 37212-3241 | 2020-09-17 |
| 1265048268 | Olivia Meers | Physician Assistant | 1080 Cedarview Ln, Franklin, TN 37067-4068 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
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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.