DONNA BRANTLEY


Address: 349 Bmh Physicians Office Bldg, Maryville, TN 37804-5820
Phone: 8659805044

DONNA BRANTLEY (NPI# 1275926255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275926255
Entity Type Individual
Full Name DONNA BRANTLEY
Practice Address 349 Bmh Physicians Office Bldg
Maryville
TN 37804-5820
Mailing Address 103 W Broadway Ave
Maryville
TN 37801-4703
Practice Telephone 8659805044
Practice Fax Number 8659805090
Mailing Telephone 8652731752
Mailing Fax Number 8652731755
Enumeration Date 2015-03-14
Last Update Date 2017-05-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
19748 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN Q015603 05

Office Location

Street Address 349 BMH PHYSICIANS OFFICE BLDG
City MARYVILLE
State TN
Zip Code 37804-5820

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538494273 Jerome H Morton Psychologist 349 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 2009-10-14
1699158410 Blount Memorial Hospital, Inc. Nurse Practitioner 349 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 2015-06-30
1386033652 Melissa Ambler Nurse Practitioner 349 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 2015-01-09
1891024683 Psychological & Educational Consultants, PC Psychologist 349 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 2009-12-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659835825 Matthew David Mallory Physical Therapist Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 2019-01-22
1063937290 Rachel Ryan Mcmillan Counselor 362 High Street, Maryville, TN 37804 2017-08-09
1316461460 Steven Casey Boring Nurse Practitioner 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 2017-07-31
1851738751 Robert Kane Mccall Pathology 250 E. Broadway, Maryville, TN 37804 2013-05-31
1619242849 Jennifer Mcclements Physical Therapy Assistant 4004 Samuel Circle, Maryville, TN 37804 2012-03-21
1316223886 Sabrina Nicole Powers Social Worker 1704 East Broadway, Maryville, TN 37804 2011-10-28
1407138381 Russmann, Inc. Ambulance 4163 Benny Delozier Drive, Maryville, TN 37804 2011-09-15
1184932485 Complete Family Care of Maryville, Pllc Internal Medicine 2004 E. Broadway, Maryville, TN 37804 2010-09-21
1093975096 Kristi Clark Correll Speech-Language Pathologist 2030 East Lamar Alexander Parkway, Maryville, TN 37804 2008-06-12
1134388267 Barbara Frantz Poulsen Speech-Language Pathologist 2030 E Lamar Alexander Parkway, Maryville, TN 37804 2008-06-04
Find all providers in zip 37804

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821600693 Tonya Ann Bosaw Nurse Practitioner 6812 State Route 162 Ste 204, Maryville, IL 62062-8562 2020-08-21
1841815701 Samantha Mclean Nurse Practitioner 2005 Kirkland Blvd, Maryville, TN 37803-3600 2020-06-16
1477102713 Tammy Ann Buchanon Nurse Practitioner 2415 Effler Rd, Maryville, TN 37803-6609 2019-09-10
1316500812 Caitlyn Michelle Chaires Nurse Practitioner 525 W Broadway Ave, Maryville, TN 37801-4782 2019-04-19
1316461460 Steven Casey Boring Nurse Practitioner 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 2017-07-31
1477902708 Katherine Buckner Nurse Practitioner 708 Devictor Dr, Maryville, TN 37801-8666 2016-06-07
1124484415 Shannon Everett Nurse Practitioner 1716 Old Mount Tabor Rd, Maryville, TN 37801-7866 2016-01-03
1952797383 Amanda Sue Anderson Nurse Practitioner 144 Oak Hill Dr, Maryville, IL 62062-6475 2015-04-13
1992194401 Alyssa R. Loepker Nurse Practitioner 6812 State Route 162 Ste 120, Maryville, IL 62062-8586 2015-01-21
1477956076 Lori B Crisp Nurse Practitioner 339 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 2014-09-27
Find all providers in MARYVILLE

Competitor

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City MARYVILLE
Zip Code 37804

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Dataset Information

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.

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