MRS. KATHLEEN MARIE BOCKHOLD (NPI# 1285808626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285808626 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN MARIE BOCKHOLD |
| Credential | MSN, ARNP-BC |
| Practice Address |
1365 W Brierbrook Rd Germantown TN 38138-2208 |
| Mailing Address |
122 Airways Pl Southaven MS 38671-5872 |
| Practice Telephone | 6623499990 |
| Practice Fax Number | 6623492620 |
| Mailing Telephone | 6623499990 |
| Mailing Fax Number | 6623492620 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2010-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | A810342 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5965 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1365 W BRIERBROOK RD |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942568811 | Ashley Miller Henry | Nurse Practitioner | 1365 W Brierbrook Rd, Germantown, TN 38138-2208 | 2012-04-30 |
| 1164734232 | Midsouth Interventional Pain Institute, LLC | Clinic/Center | 1365 W Brierbrook Rd, Germantown, TN 38138-2208 | 2010-07-06 |
| 1245479658 | Michael E. Steuer Md PC | Specialist | 1365 W Brierbrook Rd, Germantown, TN 38138-2208 | 2009-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932630324 | Munjanja Litell | Nurse Practitioner | 17300 Germantown Rd, Germantown, MD 20874-2945 | 2017-03-27 |
| 1841680915 | Angela Leah Novas | Nurse Practitioner | 19745 Executive Park Circle, Advanced Medical Care, Germantown, MD 20874 | 2015-01-28 |
| 1710213723 | Karen Armbrister | Nurse Practitioner | N114w15935 Red Oak Cir, Germantown, WI 53022-6013 | 2009-10-26 |
| 1154370377 | Mary F Haynos | Nurse Practitioner | 19701 Executive Park Cir, Germantown, MD 20874-2639 | 2006-05-06 |
| 1477001055 | Amy N Kaiser | Nurse Practitioner | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2016-09-13 |
| 1568813517 | Amanda Berry | Nurse Practitioner | 1310 Wolf Park Dr, Germantown, TN 38138-1741 | 2016-06-30 |
| 1871999235 | Maria Aguda | Nurse Practitioner | 19735 Germantown Rd, Ste 300, Germantown, MD 20874-1214 | 2014-11-13 |
| 1598184574 | Leann Maxwell | Nurse Practitioner | 7945 Wolf River Blvd, Suite 280, Germantown, TN 38138-1762 | 2014-04-07 |
| 1760827745 | Melissa C Barnes | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2013-05-06 |
| 1114228087 | Tania L Addess | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2010-11-09 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on MRS. KATHLEEN MARIE BOCKHOLD.
| 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.