ALEXANDRIA GRACE-MARY HOLDER (NPI# 1275057523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275057523 |
| Entity Type | Individual |
| Full Name | ALEXANDRIA GRACE-MARY HOLDER |
| Other Name | ALEXANDRIA GRACE-MARY LOGAN |
| Credential | PNP |
| Practice Address |
4307 Highway 66 S Rogersville TN 37857-3155 |
| Mailing Address |
Po Box 850 Rogersville TN 37857-0850 |
| Practice Telephone | 4239211600 |
| Practice Fax Number | 4239211681 |
| Mailing Telephone | 4239211600 |
| Mailing Fax Number | 4239211681 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
22875 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4307 HIGHWAY 66 S |
| City | ROGERSVILLE |
| State | TN |
| Zip Code | 37857-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496390 | Jose Pinlac Velasco | Family Medicine | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2005-06-13 |
| 1689207938 | Keshia Beth Luster | Nurse Practitioner | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2020-02-14 |
| 1528615002 | Douglas Chase Edwards | Physical Therapist | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2019-08-20 |
| 1487128708 | Kristen Dykes | Nurse Practitioner | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2019-01-21 |
| 1932681236 | Camellia Bell Williams | Nurse Practitioner | 4307 Highway 66 S, Rogersville, TN 37857 | 2018-09-04 |
| 1366943383 | Chelsea Brooke Hartsook-fields | Nurse Practitioner | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2018-02-25 |
| 1104335553 | Rebeka Kaye Skelton | Physician Assistant | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2017-09-28 |
| 1548708977 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 4307 Highway 66 S, Suite 2, Rogersville, TN 37857-3155 | 2017-02-06 |
| 1902357627 | Chelsey Leeann Babb | Physician Assistant | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2016-10-18 |
| 1528430147 | Carla Jane Weems | Nurse Practitioner | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942766852 | Alaina M Kuebler | Occupational Therapist | 109 Tn-70, Rogersville, TN 37857 | 2019-02-15 |
| 1366823460 | Crystal L Stiltner | Family Medicine | 405 Scenic Dr Ste B, Rogersville, TN 37857 | 2015-06-15 |
| 1689867715 | Louis V Salamina | Chiropractor | 952 W. Broadway Suite 100, Rogersville, TN 37857 | 2007-08-22 |
| 1538224464 | Timothy D. Gunnin, D.d.s., P.C. | Dentist | 110 South Hasson Street, Rogersville, TN 37857 | 2006-12-22 |
| 1952464232 | Timothy Davis Gunnin | Dentist | 110 South Hasson St, Rogersville, TN 37857 | 2006-12-18 |
| 1043393358 | Andrew John Morgan | Case Manager/Care Coordinator | 101 Lena Dr., Rogersville, TN 37857 | 2006-10-23 |
| 1922191428 | Hometown Home Health Care, Inc. | Home Health | 121 Forest Hills Rd., Suite B, Rogersville, TN 37857 | 2006-10-02 |
| 1689687733 | Randall Paul Weaver | Social Worker | 101 Lena Drive, Hawkins Cn Mental Health Ctr, Rogersville, TN 37857 | 2006-08-13 |
| 1194754234 | Blue Ridge Medical Management Corporation | Internal Medicine | Health Link of Rogersville, 900 West Main Street, Rogersville, TN 37857 | 2006-07-01 |
| 1497700629 | James Robertson Price | Pharmacist | 4017 Highway 66 #7, Rogersville, TN 37857 | 2006-05-24 |
| Find all providers in zip 37857 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578866703 | Dana Wright Mccoy | Nurse Practitioner | 4307 Highway 66 S, Rogersville, TN 37857-3155 | 2010-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416330 | Laura Jean Schmid | Nurse Practitioner | 2200 Childrens Way Ste 3103, Nashville, TN 37232-0034 | 2020-10-27 |
| 1801495338 | Heidi Bevans | Nurse Practitioner | 1440 Cedar Ln, Tullahoma, TN 37388-2485 | 2020-10-26 |
| 1629683453 | Monique Kyles | Nurse Practitioner | 148 Marrakesh Cir, Memphis, TN 38103-5830 | 2020-09-09 |
| 1164034013 | Donte Leonard | Nurse Practitioner | 952 Dolly Parton Pkwy, Sevierville, TN 37862-3707 | 2020-08-21 |
| 1114545050 | Regina Jill Brown | Nurse Practitioner | 1441 Guthrie Dr Nw, Cleveland, TN 37311-3642 | 2020-07-07 |
| 1295350361 | Amber Rose King | Nurse Practitioner | 439 N Graham St, Memphis, TN 38122-3831 | 2020-06-14 |
| 1346869302 | Ashley O'brien | Nurse Practitioner | 1044 Oak Drive, White Bluff, TN 37187-3718 | 2020-04-10 |
| 1487298634 | Madison Hatfield | Nurse Practitioner | 2200 Childrens Way Fl 8, Nashville, TN 37232-0005 | 2019-10-31 |
| 1184267270 | Mary Elizabeth Coletti | Nurse Practitioner | 1029 W Main St # 3301, Lebanon, TN 37087-3351 | 2019-10-22 |
| 1508408956 | Stephanie Nidiffer | Nurse Practitioner | 3328 Jenkins Rd Ste 200, Chattanooga, TN 37421-1298 | 2019-10-16 |
| Find all providers with the same taxonomy | ||||
| City | ROGERSVILLE |
| Zip Code | 37857 |
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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.