DR. SHAMOLIE NICOLE WYCKOFF (NPI# 1295872216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295872216 |
| Entity Type | Individual |
| Full Name | DR. SHAMOLIE NICOLE WYCKOFF |
| Credential | M.D. |
| Practice Address |
5651 Frist Blvd Ste 712 Hermitage TN 37076-2054 |
| Mailing Address |
15180 Old Hickory Blvd #417 Nashville TN 37211-6503 |
| Practice Telephone | 6158729966 |
| Practice Fax Number | 6158729967 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2015-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | P20277 | MD | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
48072 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
5651 FRIST BLVD STE 712 |
| City | HERMITAGE |
| State | TN |
| Zip Code | 37076-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253638 | Brian C Beatty | Obstetrics & Gynecology | 5651 Frist Blvd, Ste 213, Hermitage, TN 37076-2056 | 2005-05-23 |
| 1740739747 | Mary Hackett | Nurse Practitioner | 5651 Frist Blvd, 603, Hermitage, TN 37076-2054 | 2016-10-02 |
| 1518360825 | Gabriela Alejandra Lee | Nurse Practitioner | 5651 Frist Blvd, Suite 712, Hermitage, TN 37076-2054 | 2014-09-30 |
| 1871992974 | Bryan Hack | Physical Therapist | 5651 Frist Blvd, Suite 200, Hermitage, TN 37076-2054 | 2014-08-14 |
| 1740693241 | Claire E Marple | Occupational Therapist | 5651 Frist Blvd, Suite 200, Hermitage, TN 37076-2054 | 2014-06-03 |
| 1851713267 | Laura Denning Kigweba | Physician Assistant | 5651 Frist Blvd, Suite 616, Hermitage, TN 37076-2054 | 2014-01-21 |
| 1790111383 | Nicole Pewitt Frye | Nurse Practitioner | 5651 Frist Blvd, Suite 414, Hermitage, TN 37076-2054 | 2013-09-16 |
| 1588001846 | Advanced Diagnostic Imaging, PC | Durable Medical Equipment & Medical Supplies | 5651 Frist Blvd, Ste 200, Hermitage, TN 37076-2054 | 2013-05-28 |
| 1790024065 | Advanced Diagnostic Imaging, PC | Durable Medical Equipment & Medical Supplies | 5651 Frist Blvd, Suite 409, Hermitage, TN 37076-2054 | 2013-02-06 |
| 1568713972 | Megan Michelle Matheson | Nurse Practitioner | 5651 Frist Blvd, Suite 200, Hermitage, TN 37076-2054 | 2012-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996583 | Cassandra Renea Brown | Dietitian, Registered | 5653 Frist Blvd Suite 530, Hermitage, TN 37076 | 2019-05-02 |
| 1164979753 | Chelsea Douglas | Nurse Practitioner | 5565 Frist Boulevard, Hermitage, TN 37076 | 2016-09-01 |
| 1417333568 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 3207 Earhart Road, Hermitage, TN 37076 | 2015-07-30 |
| 1578944187 | Middle Tennesse Homes | Intermediate Care Facility, Mentally Retarded | 3209 Earhart Road, Hermitage, TN 37076 | 2015-06-10 |
| 1063835585 | Rachel Jane Morris | Occupational Therapist | 1621 Robindale Dr, Hermitage, TN 37076 | 2014-02-04 |
| 1427488154 | Earhart 1 | Intermediate Care Facility, Mentally Retarded | 3156 Earhart Rd, Nashville, TN 37076 | 2013-11-15 |
| 1669802393 | Tulip Grove #2 | Intermediate Care Facility, Mentally Retarded | 877 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-15 |
| 1780014514 | Tulip Grove Road #1 | Intermediate Care Facility, Mentally Retarded | 869 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-14 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1942545686 | Helping Hands Support Center, Inc. | Home Health | 4060 Andrew Jackson Pkwy #907, Hermitage, TN 37076 | 2012-12-06 |
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| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194921296 | Cumberland Brain & Spine, Pllc | Pain Medicine | 5653 Frist Blvd, Ste 731, Hermitage, TN 37076-2066 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194220236 | William Stacy Swafford | Pain Medicine | 181 Matherly St, Crossville, TN 38555 | 2018-03-29 |
| 1679979959 | Eclipse Pain Network, LLC | Pain Medicine | 226 Uffelman Dr, Clarksville, TN 37043-4974 | 2014-11-13 |
| 1407261647 | Knoxville Pain Specialists, Pllc | Pain Medicine | 3714 River Trace Ln, Knoxville, TN 37920-7118 | 2014-06-26 |
| 1871903690 | Interventional Healthcare Services | Pain Medicine | 4524 Hixson Pike, Hixson, TN 37343-5041 | 2014-05-01 |
| 1427479328 | Tennessee Pain Management Associates | Pain Medicine | 530 Us Hwy 64, Suite 5, Waynesboro, TN 38485 | 2013-12-18 |
| 1568723088 | Donald Boatright, Md., PC | Pain Medicine | 607 W Due West Ave Ste 113, Madison, TN 37115-4428 | 2012-05-31 |
| 1427340603 | Northern Tennessee Pain Management Center | Pain Medicine | 1805 8th Ave S, Nashville, TN 37203-5011 | 2011-05-06 |
| 1265723563 | Total Healthcare Consultants PC | Pain Medicine | 200 New York Ave Ste 320, Oak Ridge, TN 37830-5227 | 2011-04-21 |
| 1619266814 | Ken Homolya Md LLC | Pain Medicine | 103 Hazel Path, Suite 7, Hendersonville, TN 37075-1602 | 2011-03-29 |
| 1699075796 | Blount Pain Consultants LLC | Pain Medicine | 186 Airport Plaza Blvd, Suite E, Alcoa, TN 37701-3182 | 2010-10-25 |
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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.