MARY SHAREE DEAN (NPI# 1154572857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154572857 |
| Entity Type | Individual |
| Full Name | MARY SHAREE DEAN |
| Credential | ACNP-BC |
| Practice Address |
555 Forrest Ave Clifton TN 38425-5412 |
| Mailing Address |
150 County Road 226 Iuka MS 38852-7242 |
| Practice Telephone | 9316763337 |
| Mailing Telephone | 6622792137 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2019-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R803122 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00622390 | 05 | |
| MS | GROUP NPI | 1518237932 | 01 |
| MS | BOARD OF NURSING | R803122 | 01 |
| MS | INDIVIDUAL NPI | 1154572857 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215393475 | Mary Hope Dean | Social Worker | 2232 Carleton Street, #5, Berkeley, CA 94704-3225 | 2016-01-04 |
| 1407022080 | Mary Dean | Occupational Therapist | 5519 Sunlight Drive #301, Durham, NC 27707 | 2008-05-05 |
| 1255546883 | Mary Shannon Dean | Registered Nurse | 1926 E Camelback Rd, Apt 627, Phoenix, AZ 85016-4120 | 2007-05-14 |
| 1841335270 | Mary J Dean | Counselor | 100 Professional Place, Suite 302, Carrollton, GA 30117 | 2007-02-21 |
| 1154474526 | Mary Ellen Dean | Specialist | I Columbia St., Poughkeepsie, NY 12601 | 2007-01-19 |
| 1295757409 | Mary Denise Dean | Pharmacist | 416 Howland Dr, Gahanna, OH 43230-3601 | 2006-07-24 |
| 1407266745 | Mary K Dean | Radiology | 1400 Pin Oak Dr, Carterville, IL 62918-1600 | 2014-05-07 |
| 1386996932 | Mary M Dean | Social Worker | 333 South Main Street, Opelousas, LA 70570 | 2012-10-05 |
| 1326306028 | Mary Joanna Dean | Social Worker | 3717 Taylorsville Rd, 1st Floor, Louisville, KY 40220-1333 | 2012-05-01 |
| 1285991281 | Mary Christine Dean | Pharmacist | 2351 S Townsend Ave, Montrose, CO 81401-5438 | 2012-04-13 |
| Street Address |
555 FORREST AVE |
| City | CLIFTON |
| State | TN |
| Zip Code | 38425-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052116 | Selena Renee Pevahouse | Nurse Practitioner | 110 Miller Drive, Clifton, TN 38425 | 2020-01-07 |
| 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 |
| 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 | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568694974 | Cara Mia Konzel | Nurse Practitioner | 721 Clifton Ave, Suite 2a, Clifton, NJ 07013-1880 | 2009-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
| 1063034429 | Jared Garrison | Nurse Practitioner | 700 Harbor Edge Dr Apt 102, Memphis, TN 38103-5840 | 2020-05-08 |
| 1548893472 | Caroline Kelly Pigford | Nurse Practitioner | 5737 Sarah Dr, Ooltewah, TN 37363-6465 | 2020-02-19 |
| 1447883343 | Jennifer Leigh Slater | Nurse Practitioner | 109 Williamsburg Blvd, Tullahoma, TN 37388-5412 | 2020-02-19 |
| 1811529118 | Michelle Filomena Grise | Nurse Practitioner | 1466 Tiny Town Rd, Clarksville, TN 37042-8291 | 2020-02-05 |
| 1902445935 | Brad Harrell, Dnp LLC | Nurse Practitioner | 233 Lackey Ln, Ripley, TN 38063-1619 | 2019-12-20 |
| 1861039612 | Teresa Hea Brown | Nurse Practitioner | 180 Melodie Cir, Henderson, TN 38340-3628 | 2019-11-27 |
| 1962044883 | Seph Kestner | Nurse Practitioner | 1215 21st Ave S Fl Mce5, Nashville, TN 37232-0014 | 2019-10-11 |
| 1003457409 | Leven Ward | Nurse Practitioner | 250 Hartfield Dr, Medina, TN 38355-8941 | 2019-10-07 |
| 1619527124 | Amelia Hoyt Laws | Nurse Practitioner | Vanderbilt University Medical Center 1211, Nashville, TN 37232-0001 | 2019-09-17 |
| 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.