DR. JACLYN BETH VAN NES (NPI# 1154592897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154592897 |
| Entity Type | Individual |
| Full Name | DR. JACLYN BETH VAN NES |
| Credential | M.D. |
| Practice Address |
1928 Alcoa Hwy Medical Building B Suite 300 Knoxville TN 37920-1502 |
| Practice Telephone | 8653059799 |
| Practice Fax Number | 8653059752 |
| Mailing Telephone | 8653059799 |
| Mailing Fax Number | 8653059752 |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD0000043229 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
1928 ALCOA HWY MEDICAL BUILDING B SUITE 300 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948029 | Edward D Kim | Urology | 1928 Alcoa Hwy, Bldg B Suite 222, Knoxville, TN 37920-1502 | 2005-08-03 |
| 1821625849 | Mary Elizabeth Booker | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2020-03-27 |
| 1225665508 | Leanne Elizabeth Brechtel | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2020-03-25 |
| 1780231654 | Kelly Jane Tipton | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2019-08-24 |
| 1578024873 | Kristen Michelle Lilly | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2019-03-28 |
| 1720548662 | Sandberg Foot Health Center PC | Podiatrist | 1928 Alcoa Hwy, Building B., Suite 200, Knoxville, TN 37920-1502 | 2019-03-25 |
| 1811457872 | Laurel Pace Carbone | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2019-03-24 |
| 1598225617 | Elizabeth Ljuba Mirsky | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2019-03-24 |
| 1629565239 | Elizabeth Altizer | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2018-04-18 |
| 1093211849 | Charlotte B Mccarley | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2018-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942437181 | Michael Robert Polin | Obstetrics & Gynecology | 1930 Alcoa Hwy Ste A235, Knoxville, TN 37920-1510 | 2009-06-15 |
| 1821225327 | Kevin Charles Visconti | Obstetrics & Gynecology | 1930 Alcoa Highway, Building A Suite 435, Knoxville, TN 37920 | 2009-06-11 |
| 1992846786 | Women's Health Partners of East Tennessee PC | Obstetrics & Gynecology | 9330 Park West Blvd Ste 300, Knoxville, TN 37923-4311 | 2007-02-12 |
| 1730268855 | Kimberly H Roberts | Obstetrics & Gynecology | 100310 Sherrill Blvd, Knoxville, TN 37932-3336 | 2006-11-02 |
| 1780767640 | Ceeccy Yang | Obstetrics & Gynecology | 10031 Sherrill Blvd, Knoxville, TN 37932-3336 | 2006-10-23 |
| 1588745251 | Jerry Earl Sanders | Obstetrics & Gynecology | 1600 Agawela Ave, Knoxville, TN 37919-8319 | 2006-10-18 |
| 1912017831 | Laurel Ob Gyn Assoc Pa | Obstetrics & Gynecology | 2001 Laurel Ave #404, Knoxville, TN 37916 | 2006-08-30 |
| 1407962558 | Tammy Ewayne Baker | Obstetrics & Gynecology | 2013 Highland Avenue, Knoxville, TN 37916 | 2006-08-22 |
| 1720023708 | Heather Katherine Moss | Obstetrics & Gynecology | 4005 Fountain Valley Dr, Suite 450, Knoxville, TN 37918-5327 | 2006-06-17 |
| 1730133851 | Christine Linda Gale | Obstetrics & Gynecology | 2100 Clinch Ave Ste 130, Knoxville, TN 37916-2224 | 2006-05-22 |
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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.