CAROLINE GRACE DERRICK (NPI# 1124637905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124637905 |
| Entity Type | Individual |
| Full Name | CAROLINE GRACE DERRICK |
| Credential | PA |
| Practice Address |
271 Medical Park Blvd Bristol TN 37620-7455 |
| Mailing Address |
309 Jackson Rd Dickson TN 37055-1419 |
| Practice Telephone | 4232748600 |
| Mailing Telephone | 6154770493 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295893055 | Caroline Louise Derrick | Nurse Practitioner | 27901 Woodward Ave Ste 300, Berkley, MI 48072-0921 | 2006-12-05 |
| Street Address |
271 MEDICAL PARK BLVD |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-7455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902899818 | Karen S Prill | Internal Medicine | 271 Medical Park Blvd, Bristol, TN 37620-7455 | 2005-08-25 |
| 1790101558 | Celeste Y Sorah | Nurse Practitioner | 271 Medical Park Blvd, Bristol, TN 37620-7455 | 2014-03-17 |
| 1386946267 | Tonya D Baker | Nurse Practitioner | 271 Medical Park Blvd, Bristol, TN 37620 | 2010-11-25 |
| 1154643278 | Melissa Ann Mcphail | Nurse Practitioner | 271 Medical Park Blvd, Bristol, TN 37620-7455 | 2010-02-16 |
| 1316272453 | Ruth D Johnson | Nurse Practitioner | 271 Medical Park Blvd, Bristol, TN 37620-7455 | 2009-10-07 |
| 1982844668 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 271 Medical Park Blvd, Bristol, TN 37620-7455 | 2009-02-20 |
| 1740477116 | Gabriel Alberto Zaietta | Internal Medicine | 271 Medical Park Blvd, Bristol, TN 37620-7455 | 2007-10-01 |
| 1437346301 | Adel Mohamad El Abbassi | Internal Medicine | 271 Medical Park Blvd, Bristol, TN 37620-7455 | 2007-09-25 |
| 1861612103 | Prashanth Chandra Sekhar | Internal Medicine | 271 Medical Park Blvd, Bristol, TN 37620-7455 | 2007-04-27 |
| 1649282971 | German Lizarralde | Internal Medicine | 271 Medical Park Blvd, Bristol, TN 37620 | 2006-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| 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 |
|---|---|---|---|---|
| 1518510940 | Shanna Fielding | Physician Assistant | 181 Prospect St, Bristol, NH 03222-3021 | 2019-07-24 |
| 1023461605 | Ashley Anne Proulx | Physician Assistant | 22 Pine St Ste 104, Bristol, CT 06010-6949 | 2016-07-19 |
| 1184029761 | Lucilita Salvador | Physician Assistant | 11064 Nw Dempsey Barron Rd, Bristol, FL 32321-2622 | 2014-10-25 |
| 1831472067 | Timothy Michael Leicht | Physician Assistant | 335 Radcliffe St., Physician Assistant Surgical Associates, LLC, Bristol, PA 19007 | 2011-09-23 |
| 1194842336 | Jacqueline Sanz | Physician Assistant | 1 Brewster Road, Bristol, CT 06010-5142 | 2007-03-23 |
| 1477515625 | Charles Barnicoat | Physician Assistant | Bristol Hospital, Bristol, CT 06011 | 2006-04-04 |
| 1497722649 | Jodi Elizabeth Walsh | Physician Assistant | 61 Bradley St Ste 7, Bristol, CT 06010-5103 | 2006-03-07 |
| 1508857194 | Robert G Holzhauer | Physician Assistant | 539 Farmington Ave, Bristol, CT 06010-3931 | 2005-11-02 |
| 1922004977 | Kara A Lynch | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2005-06-23 |
| 1093331670 | Kendra Jade Mcgregor | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5141 | 2020-06-19 |
| Find all providers in BRISTOL | ||||
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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.