LAWRIE NICHOLSON TREAKLE


Address: 2100 W. Clinch Ave Ste 120, Knoxville, TN 37916-2219
Phone: 8656377290

LAWRIE NICHOLSON TREAKLE (NPI# 1295822997) 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) 1295822997
Entity Type Individual
Full Name LAWRIE NICHOLSON TREAKLE
Other Name LAWRIE J NICHOLSON
Credential CPNP
Practice Address 2100 W. Clinch Ave Ste 120
Knoxville
TN 37916-2219
Practice Telephone 8656377290
Practice Fax Number 8656377289
Mailing Telephone 8656377290
Mailing Fax Number 8656377289
Enumeration Date 2006-10-06
Last Update Date 2010-02-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
146011 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SD ADVANCED PRACTICE NURSE APN0000012083 01

Office Location

Street Address 2100 W. CLINCH AVE STE 120
City KNOXVILLE
State TN
Zip Code 37916-2219

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477151322 Chelsea Raye Tanner Registered Nurse American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 2020-10-13
1003473372 Mary Katrina Quist Rouse Nurse Practitioner 2100 Clinch Ave Ste 330, Knoxville, TN 37916 2019-05-22
1457881724 Leslie Lynette Taylor Physical Medicine & Rehabilitation 2120 Highland Avenue, Knoxville, TN 37916 2017-06-19
1235547423 Publix Tennessee LLC Durable Medical Equipment & Medical Supplies 2429 University Commons Way, Knoxville, TN 37916 2014-07-31
1801182340 Jessica Lee Sheah Psychiatry & Neurology 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 2011-06-23
1326203548 Bradley Jason Davis Internal Medicine 1819 Clinch Ave Ste 114, Knoxville, TN 37916 2008-07-28
1003012782 East Tennessee Children's Hospital Association, Inc Clinic/Center 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 2007-06-21
1922203108 East Tennessee Children's Hospital Primary Care Center, Inc. Clinic/Center 611 22nd Street, Knoxville, TN 37916 2007-06-18
1699825984 Orthodontic Design By Michael Sawaf Dentist 2220 White Ave, Knoxville, TN 37916 2007-01-11
1427115096 Deborah Lynne Maples Physical Therapy Assistant Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 2007-01-03
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437523149 Marissa Grace Warwar Nurse Practitioner 2018 Clinch Ave Fl Tower2, Knoxville, TN 37916-2301 2015-11-18
1265803514 Fauzia Khalid Nurse Practitioner 1439 Charlottesville Blvd, Knoxville, TN 37922-6658 2015-10-13
1326377177 Lori R Hestand Nurse Practitioner 9220 Park West Blvd Ste 1, Knoxville, TN 37923-4405 2009-12-08
1205065984 Sarah Lyttle Jones Nurse Practitioner 2072 Lakeside Centre Way, Knoxville, TN 37922-6591 2009-07-02
1508998246 Cathy Kimball Nurse Practitioner 9724 Kingston Pike Ste 1005, Knoxville, TN 37922-6906 2007-03-09
1518060136 Josephine Swann Nodell Nurse Practitioner 4529 Asheville Hwy, Knoxville, TN 37914-3607 2006-09-07
1770548000 Gail Clift Nurse Practitioner 6305 Lonas Dr Ste 101, Knoxville, TN 37909-2732 2006-04-19
1346718020 Lauri Michelle Gingerich Nurse Practitioner 2100 W Clinch Ave, Knoxville, TN 37916-2219 2018-11-11
1720581390 Melissa Ann Guzman Nurse Practitioner 10857 Hardin Valley Rd, Knoxville, TN 37932-1410 2018-03-09
1316473754 Tuesday Nicole Scalf Nurse Practitioner 2100 W Clinch Avenue, Suite 510, Knoxville, TN 37916 2017-05-04
Find all providers in KNOXVILLE

Competitor

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City KNOXVILLE
Zip Code 37916

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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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