CRYSTAL CHAMBLISS (NPI# 1316471543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316471543 |
| Entity Type | Individual |
| Full Name | CRYSTAL CHAMBLISS |
| Practice Address |
7940 Regatta Dr Cordova TN 38016-1342 |
| Mailing Address |
7940 Regatta Dr Apt 402 Cordova TN 38016-1343 |
| Practice Telephone | 8008979177 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
22554 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7940 REGATTA DR |
| City | CORDOVA |
| State | TN |
| Zip Code | 38016-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886872 | Megan Scott Bolton | Physical Therapist | 8110 Cordova Road Suite 107, Cordova, TN 38016 | 2020-06-23 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1376195842 | Robert Cody Heismann | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016 | 2019-07-15 |
| 1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
| 1255776886 | Suzanne Elaine Baker | Family Medicine | 2257 North Germantown Parkway, Memphis, TN 38016 | 2013-05-09 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1114186624 | Rebecca L Bills | Optometrist | 1795 N Germantown Pkwy, Cordova, TN 38016 | 2008-06-09 |
| 1679784128 | Linda Kay Yates | Emergency Medicine | 1401 Dexter Lane, Cordova, TN 38016 | 2007-05-25 |
| 1417168386 | Healthquest | Psychiatry & Neurology | 58 Timber Creek, Cordova, TN 38016 | 2007-05-24 |
| 1114079795 | Barbara T Henking | Psychologist | 8134 Country Village, #102, Cordova, TN 38016 | 2007-01-17 |
| Find all providers in zip 38016 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757960 | Stephanie Cook | Nurse Practitioner | 8532 Wood Mills Dr W, Cordova, TN 38016-6169 | 2020-10-16 |
| 1659719144 | Joyce Ann Archie | Nurse Practitioner | 1429 Cordova Gorgas Rd, Cordova, AL 35550-5030 | 2013-06-06 |
| 1912418005 | Lindsay Brooke Handley | Nurse Practitioner | 70 Highland St W, Cordova, AL 35550-1416 | 2017-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838713 | Rachel Goddard Claiborne | Nurse Practitioner | 7705 Poplar Ridge Dr, Nashville, TN 37221-2326 | 2020-10-15 |
| 1992303457 | Winnie Warun Kiri | Nurse Practitioner | 4715 Bonny Oaks Dr Apt 308, Chattanooga, TN 37416-3825 | 2020-10-15 |
| 1841807625 | Emily Marie Leidig | Nurse Practitioner | 271 Medical Park Blvd Fl 1, Bristol, TN 37620-7455 | 2020-09-25 |
| 1144831397 | Dana Lynn Marchetti | Nurse Practitioner | 113 Meadowvue Dr, Hendersonville, TN 37075-4212 | 2020-08-12 |
| 1770115925 | Lorne Avery Schwartz | Nurse Practitioner | 5606b Pennsylvania Ave, Nashville, TN 37209-1439 | 2020-02-05 |
| 1477196004 | Brie Lajeret | Nurse Practitioner | 800 Weatherly Dr Ste 201b, Clarksville, TN 37043-8958 | 2019-10-27 |
| 1851946560 | Virginia Elise Schlitt | Nurse Practitioner | 514 Crystal Springs Cir, Johnson City, TN 37615-2359 | 2019-08-08 |
| 1265991871 | Jane Holt | Nurse Practitioner | 647 Dunlop Ln Ste 101, Clarksville, TN 37040-5165 | 2019-03-14 |
| 1902378581 | Revital Health and Wellness Clinics Pllc | Nurse Practitioner | 695 President Pl Ste 200, Smyrna, TN 37167-5681 | 2018-12-20 |
| 1689144255 | Ashlee Saylor Jackson | Nurse Practitioner | 1442 Mcalpine Ave, Nashville, TN 37216 | 2018-11-27 |
| Find all providers with the same taxonomy | ||||
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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.