KEESHA TYLER (NPI# 1174829915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174829915 |
| Entity Type | Individual |
| Full Name | KEESHA TYLER |
| Other Name | KEESHA LAUREN SKINNER |
| Credential | FNP |
| Practice Address |
1450 Ross Clark Cir Ste 400 Dothan AL 36301-4770 |
| Mailing Address |
Po Box 2266 Dothan AL 36302-2266 |
| Practice Telephone | 3343050400 |
| Practice Fax Number | 3343050401 |
| Mailing Telephone | (334) 305-0400 |
| Mailing Fax Number | 3343050401 |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-097574 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | ALABAMA BOARD OF NURSING | 1-097574 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4300 W Main St, Suite 102, Dothan, AL 363051054 | 3347939564 | 3346718907 |
| Street Address |
1450 ROSS CLARK CIR STE 400 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-4770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932193414 | Alan Wesley Purvis | Internal Medicine | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2005-09-09 |
| 1386124212 | Brittni Harrell | Nurse Practitioner | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2018-08-20 |
| 1790201903 | Gut PC | Nurse Anesthetist, Certified Registered | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2017-08-18 |
| 1477093102 | Melissa Watkins | Nurse Practitioner | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2017-02-28 |
| 1164869954 | Amanda West Pybus | Nurse Practitioner | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2013-06-03 |
| 1518160605 | Walter Jefferies Doty Iv | Internal Medicine | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2007-06-07 |
| 1801919089 | Christina Louise Bell | Nurse Practitioner | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2007-04-10 |
| 1912987785 | Pulmonary Associates, Pa | Internal Medicine | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2006-01-18 |
| 1013901594 | Brian Reynolds Sinclair | Internal Medicine | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2005-09-09 |
| 1659365138 | Marvin Walker Sexton | Internal Medicine | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2005-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295362408 | Stephen M Pendergraft | Nurse Practitioner | 4740 W Main St, Dothan, AL 36305-9423 | 2020-03-26 |
| 1689205767 | Sassy Lashawn Sylvester | Nurse Practitioner | 410 Ridgeland Rd, Dothan, AL 36301-1117 | 2020-01-28 |
| 1700344488 | Gregory Keith Tice | Nurse Practitioner | 1118 Ross Clark Cir Ste 704, Dothan, AL 36301-3030 | 2019-03-12 |
| 1144732520 | Kasey Duffie Chance | Nurse Practitioner | 211 Brushfire Dr, Dothan, AL 36305-7069 | 2017-10-25 |
| 1306364062 | Janeetra Janiece Coachman | Nurse Practitioner | 9 Trillium Cir Apt 1401, Dothan, AL 36301-7653 | 2017-09-01 |
| 1265954010 | Melanie Jo Ellison | Nurse Practitioner | 973 Dunn Rd, Dothan, AL 36303-1056 | 2017-07-13 |
| 1679012629 | Elva Calderon | Nurse Practitioner | 1736 E Main St Ste 100, Dothan, AL 36301-3040 | 2017-02-22 |
| 1649610395 | Kelli Saage Anderson | Nurse Practitioner | 1146 Ross Clark Cir, Dothan, AL 36301-3022 | 2013-06-26 |
| 1902040090 | Cindy Ruth Hemendinger | Nurse Practitioner | 3124 Ross Clark Cir, Dothan, AL 36303-3038 | 2009-04-21 |
| 1770737249 | Kelley E Blake | Nurse Practitioner | 4300 W Main St Ste 45, Dothan, AL 36305-1317 | 2008-11-11 |
| Find all providers in DOTHAN | ||||
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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.