MR. WALTER LEE SIMS (NPI# 1235103490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235103490 |
| Entity Type | Individual |
| Full Name | MR. WALTER LEE SIMS |
| Credential | PA-C |
| Practice Address |
2301 21st Ave S Nashville TN 37212-4908 |
| Practice Telephone | 6153279797 |
| Practice Fax Number | 6156130329 |
| Mailing Telephone | 6153279797 |
| Mailing Fax Number | 6156130329 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 678 | TN | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 678 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2301 21ST AVE S |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37212-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881670719 | Brent E Pennington | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2005-12-22 |
| 1992069876 | Rachel Redenius Howald | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2012-06-26 |
| 1649421066 | Kalyn B Crosby | Dermatology | 2301 21st Ave S, Nashville, TN 37212 | 2008-10-03 |
| 1346412558 | Krista Harmon Koleas | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2008-03-27 |
| 1851507073 | Sara M Kantrow | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2007-05-15 |
| 1952458846 | Adrian O Rodriguez | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2007-01-04 |
| 1578610390 | Lorien Y Sites | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2007-01-04 |
| 1114967023 | Jennifer Dempsey Martin | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2006-06-08 |
| 1497700231 | Nashville Skin and Cancer, Plc | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2006-05-23 |
| 1306822234 | Jason B Robbins | Dermatology | 2301 21st Ave S, Nashville, TN 37212 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063204 | Nichole Sherwood | Pharmacist | 1314 24th Avenue S, Nashville, TN 37212 | 2019-09-27 |
| 1710460795 | Samantha Catherine Beretta | Counselor | 1710 17th Ave S, Nashville, TN 37212 | 2018-09-14 |
| 1417482449 | Elise Stephenson Scott | Student in an Organized Health Care Education/Training Program | 1601 21st Avenue South, Room 3106, Nashville, TN 37212 | 2017-04-27 |
| 1851848410 | Tracy Wehby | Nurse Practitioner | 2323 21st Ave S 3rd Floor, Nashville, TN 37212 | 2016-09-01 |
| 1821544578 | Lisa Malone | Acupuncturist | 1615 Horton Ave, Nashville, TN 37212 | 2016-08-31 |
| 1568836518 | Anna Ezell | Social Worker | 1414 17th Ave S, Nashville, TN 37212 | 2015-11-13 |
| 1427437789 | Ryan Castoro | Physical Medicine & Rehabilitation | 2201 Childrens Way Blvd., Suite 1318, Nashville, TN 37212 | 2015-05-20 |
| 1730567900 | Khushbu Shah | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S Rm 3106, Nashville, TN 37212 | 2015-05-08 |
| 1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
| 1992145577 | Leslie Walls Binford | Nurse Practitioner | 2021 21st Ave S Ste 410, Nashville, TN 37212 | 2013-06-27 |
| Find all providers in zip 37212 | ||||
| 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 |
|---|---|---|---|---|
| 1861099491 | Caraline Berlynn Mcdowell | Physician Assistant | 284 Clearlake Dr W, Nashville, TN 37217-4547 | 2020-10-06 |
| 1508463365 | Logan Curran Martin | Physician Assistant | 5431 Edmondson Pike # 10, Nashville, TN 37211-5806 | 2020-10-05 |
| 1487261798 | Charity Grace Coppedge | Physician Assistant | 105 Twin Oaks Dr, Nashville, TN 37211-2765 | 2020-09-30 |
| 1871100586 | Emily Philpott | Physician Assistant | 905 20th Ave S Apt 1306, Nashville, TN 37203-2672 | 2020-09-27 |
| 1063028876 | Emma Landers | Physician Assistant | 1534 Douglas Ave, Nashville, TN 37206-2309 | 2020-09-17 |
| 1730795527 | Melanie Rees | Physician Assistant | 111 33rd Ave S Apt 102, Nashville, TN 37212-3241 | 2020-09-17 |
| 1679112395 | Hannah Lizbeth Sullivan | Physician Assistant | 111 Old Hickory Blvd Apt 261, Nashville, TN 37221-6857 | 2019-12-27 |
| 1225599921 | Merit Gerges Azab | Physician Assistant | 2113 Forge Ridge Cir, Nashville, TN 37217-3028 | 2019-03-26 |
| 1154889392 | Hannah Maria Harper | Physician Assistant | 111 17th Ave S Apt 1311, Nashville, TN 37203-2791 | 2019-03-06 |
| 1871068205 | Joseph Teal | Physician Assistant | 4534 Harding Pike, Nashville, TN 37205-2102 | 2018-10-12 |
| Find all providers in NASHVILLE | ||||
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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.