DR. CLIFFORD STEPHEN NASDAHL (NPI# 1144332826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144332826 |
Entity Type | Individual |
Full Name | DR. CLIFFORD STEPHEN NASDAHL |
Other Name | DR. CLIFFORD STEPHEN NASDAHL |
Credential | PHARM.D.,BCPP |
Practice Address |
1030 Jefferson Ave Department of Psychiatry/pharmacy Memphis TN 38104-2127 |
Mailing Address |
493 E Racquet Club Pl Memphis TN 38117-4524 |
Practice Telephone | 9015238990 |
Practice Fax Number | 9015777429 |
Mailing Telephone | 9016834809 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
RPH32359 | CA | Pharmacy Service Providers |
Street Address |
1030 JEFFERSON AVE DEPARTMENT OF PSYCHIATRY/PHARMACY |
City | MEMPHIS |
State | TN |
Zip Code | 38104-2127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982697025 | Katherine Denton Sanford | Optometrist | 1030 Jefferson Ave, Mail Code 112d, Memphis, TN 38104-2127 | 2005-08-24 |
1528667938 | Mckenzie Bahl | Recreation Therapist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-10-19 |
1427656834 | Phillip David Resuggan | Music Therapist | 1030 Jefferson Ave, Memphis, TN 38104-2193 | 2020-10-16 |
1962009159 | Rachel Diann Roberts | Nurse Anesthetist, Certified Registered | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-10-01 |
1225643018 | Melanie Warren | Nurse Practitioner | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-09-09 |
1942828892 | Brady Cole | Pharmacist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-07-08 |
1457978595 | Mariko Thel | Pharmacist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-07-05 |
1215554910 | Weston Paul Keen | Pharmacy | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-06-29 |
1225655236 | Rebecca Fong | Pharmacist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-06-26 |
1225653660 | Brandy Hollums | Pharmacist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-06-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
Find all providers in zip 38104 |
Taxonomy Code | 1835P1300X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Psychiatric |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184767709 | Greta Lockhart Williams | Pharmacist | 135 N Pauline St Fl 4, Community Behavioral Health, Memphis, TN 38105-4619 | 2007-02-14 |
1023141934 | Patti Mae Jordan | Pharmacist | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2007-03-13 |
1265565071 | Rosa Martha Drannon | Pharmacist | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2007-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730702325 | Erin Morelock | Pharmacist | 8811 Samuel Andrew Ln, Knoxville, TN 37922-6708 | 2020-05-19 |
1851733828 | Eric D Johnson | Pharmacist | 250 Glenis Dr, Murfreesboro, TN 37129-5160 | 2013-07-19 |
1275827156 | Stacy Miller | Pharmacist | Building 8, Dogwood Ave., Mountain Home, TN 37684 | 2011-06-08 |
1851458129 | Jason A Carter | Pharmacist | 710 James Robertson Pkwy Fl 11, Division of Clinical Leadership, Nashville, TN 37243-0001 | 2007-01-03 |
1053318220 | Sarah Tollison Melton | Pharmacist | Building 7, Veteran Administration Campus, Johnson City, TN 37614-1701 | 2005-07-04 |
1073510541 | Robin Anne Garner-smith | Pharmacist | 431 Park Village Rd, Suite 105, Knoxville, TN 37923-3849 | 2005-06-30 |
1124647458 | Allison Rae Sweat | Pharmacist | 2014 Quail Hollow Cir, Franklin, TN 37067-5967 | 2020-04-16 |
1649899014 | Hillarie Morgan Clevlen | Pharmacist | 2014 Quail Hollow Cir, Franklin, TN 37067-5967 | 2020-04-15 |
1952853475 | Christine Beatty | Pharmacist | 240 W Tyrone Rd, Oak Ridge, TN 37830-6517 | 2016-11-01 |
1104287903 | Lance Morgan | Pharmacist | 221 Stewarts Ferry Pike, Nashville, TN 37214-3325 | 2016-03-08 |
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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.