GREENBRIER MEDICAL (NPI# 1285066407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285066407 |
Entity Type | Organization |
Organization Name | GREENBRIER MEDICAL |
Practice Address |
1110 Village Dr Sevierville TN 37862-5028 |
Practice Telephone | 8654530792 |
Practice Fax Number | 8654295006 |
Mailing Telephone | 8654530792 |
Mailing Fax Number | 8654295006 |
Enumeration Date | 2013-07-30 |
Last Update Date | 2013-07-30 |
Authorized Official Name | MELISSA ANN LARGE (FAMILY NURSE PRACTITIONER) |
Authorized Official Telephone | 8654530792 |
Authorized Official Credential | MSN, FNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
13614 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | LICENSE | APN 13614 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | GREENBRIER MEDICAL ARTS PHARMACY INC. | Greenbrier Medical Arts Pharmacy, 3558 Jefferson St N Ste 1, Lewisburg, West Virginia 24901-5730 |
System for Award Management (SAM) Entities | GREENBRIER MEDICAL GROUP, INC. | 406 Tennessee Ave, Charleston, WV 25302-2338 |
Street Address |
1110 VILLAGE DR |
City | SEVIERVILLE |
State | TN |
Zip Code | 37862-5028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568401222 | Alan L Whiton | Orthopaedic Surgery | 1110 Village Dr, Sevierville, TN 37862-5028 | 2006-06-06 |
1760938047 | Corey Wj Cleland | Nurse Practitioner | 1110 Village Dr, Sevierville, TN 37862-5028 | 2016-08-28 |
1306135967 | Alan L. Whiton, M.d., P.C. | Orthopaedic Surgery | 1110 Village Dr, Sevierville, TN 37862-5028 | 2011-04-05 |
1235375494 | Melissa Ann Graves | Nurse Practitioner | 1110 Village Dr, Sevierville, TN 37862-5028 | 2008-12-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902330376 | Nichole Reed | Nurse Practitioner | 1787 Veteran Blvd, Suite 101, Sevierville, TN 37862 | 2017-04-12 |
1912395104 | Mark Mckinney | Physician Assistant | 1130 Middle Creek Rd., Ste. 260, Sevierville, TN 37862 | 2014-12-23 |
1538587431 | Calli Drummey | Speech-Language Pathologist | 1102 Medical Park Court, Sevierville, TN 37862 | 2014-03-29 |
1720400377 | Tonia Denise Littleton | Physical Therapist | 699 Parkway Ste 2, Sevierville, TN 37862 | 2014-01-16 |
1386986727 | Lisa May | Counselor | 1103 Dolly Parton Pkwy, Sevierville, TN 37862 | 2013-03-25 |
1073890422 | Lorrie Tate | Nurse Practitioner | 744 Middle Creek Rd Ste 114, Sevierville, TN 37862 | 2011-11-14 |
1306146360 | Anna R Huskey | Nurse Practitioner | 1102 Foxwood Drive, Suite #1, Sevierville, TN 37862 | 2010-10-25 |
1114234382 | Well-key Health, Pllc | Clinic/Center | 1787 Veterans Blvd, Suite 101, Sevierville, TN 37862 | 2010-09-08 |
1053544742 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 819 Dolly Parton Pkwy, Sevierville, TN 37862 | 2009-08-27 |
1407090855 | Carolyn Hare, Arnp | Nurse Practitioner | 415 Catlett Road, Sevier County Health Care Center, Inc, Sevierville, TN 37862 | 2009-04-29 |
Find all providers in zip 37862 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912525049 | Colleen Michelle Clark Laing | Nurse Practitioner | 1440 Korey Blvd, Sevierville, TN 37876-0583 | 2020-07-06 |
1679128243 | Misty Cotton | Nurse Practitioner | 1360 Dolly Parton Pkwy, Sevierville, TN 37862-3715 | 2019-08-09 |
1710490297 | Lauren Lowry | Nurse Practitioner | 1787 Veterans Blvd Ste 101, Sevierville, TN 37862-6946 | 2017-11-07 |
1467744680 | Jennifer Lane Stewart | Nurse Practitioner | 1124 Fox Meadows Blvd Ste 3, Sevierville, TN 37862-6927 | 2011-05-05 |
1396831186 | Peggy Diane Barnett | Nurse Practitioner | 2023 Little Cove Rd, Sevierville, TN 37862-8515 | 2006-10-05 |
1750327748 | Wendy C Pomeroy | Nurse Practitioner | 312 Prince St, Sevierville, TN 37862-3823 | 2006-06-20 |
1093764185 | Valeria Ann Sawicki | Nurse Practitioner | 215 Forks of The River Pkwy Ste 2, Sevierville, TN 37862-3410 | 2006-05-08 |
1245237726 | Martha W Clinton | Nurse Practitioner | 208 Prince St, Sevierville, TN 37862-3821 | 2005-06-30 |
1992318653 | Priscilla Cameron | Nurse Practitioner | 208 Prince St, Sevierville, TN 37862-3821 | 2020-08-24 |
1144838806 | Elizabeth Flick | Nurse Practitioner | 1787 Veterans Blvd, Sevierville, TN 37862-6945 | 2020-07-20 |
Find all providers in SEVIERVILLE |
City | SEVIERVILLE |
Zip Code | 37862 |
Please comment or provide details below to improve the information on GREENBRIER MEDICAL.
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.