PHYLLIS TUCKER KILGORE (NPI# 1356567069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356567069 |
| Entity Type | Individual |
| Full Name | PHYLLIS TUCKER KILGORE |
| Practice Address |
90 W 8th St Cookeville TN 38505-0001 |
| Mailing Address |
4627 Rickman Rd Cookeville TN 38506-7731 |
| Practice Telephone | 9313723320 |
| Practice Fax Number | 9313723848 |
| Mailing Telephone | 9314983642 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 33008 | TN | Nursing Service Providers |
| Street Address |
90 W 8TH ST |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38505-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871719096 | Randy A Tompkins | Nurse Practitioner | 90 W 8th St, Cookeville, TN 38505-0001 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932643665 | Anthony R. Walukonis | Specialist/Technologist | 1160 N Peachtree, Cookeville, TN 38505-0001 | 2016-12-14 |
| 1053728535 | Adam Graham | Specialist/Technologist | 1160 N Peachtree Rd Es Rm 114, Box 5102, Cookeville, TN 38505-0001 | 2014-07-17 |
| 1477743896 | Russell David Darley | Specialist/Technologist | Box 5102, 1160 N Peachtree Rm 114, Cookeville, TN 38505-0001 | 2007-08-01 |
| 1174732507 | Ryan Louis Zink | Specialist/Technologist | 1160 N Peachtree-room # 114, Cookeville, TN 38505-0001 | 2007-05-22 |
| 1548486764 | Cynthia Tompkins | Registered Nurse | 90 W8 St, Cookeville, TN 38505-0001 | 2007-04-17 |
| 1366487951 | Jennifer Marie Winningham | Specialist/Technologist | Tennessee Tech University Sports Medicine, 1600 Peachtree Ave, Cookeville, TN 38505-0001 | 2006-06-18 |
| 1144282062 | Christopher M Clifford | Specialist/Technologist | 1160 N. Peachtree Rm 114, Cookeville, TN 38505-0001 | 2006-04-05 |
| 1386860005 | David Scott Bilbrey | Registered Nurse | 90 W8 St, Cookeville, TN 38505-0001 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154342 | Emily Reynolds | Behavior Technician | 75 E Veterans Dr Apt Q209, Cookeville, TN 38501-5248 | 2020-11-05 |
| 1164039459 | Ben Johnson | Chiropractor | 1265 Interstate Dr Ste 201b, Cookeville, TN 38501-5227 | 2020-09-30 |
| 1710598685 | Ashley Nicole Huddleston | Nurse Practitioner | 1123 West Gate Rd, Cookeville, TN 38501-9410 | 2020-08-13 |
| 1669090163 | Leanne Rice | Behavioral Analyst | 612 Rockwell Dr, Cookeville, TN 38506-4986 | 2020-07-10 |
| 1679190532 | Jaime Phillips | Nurse Practitioner | 1225 Skyline Dr, Cookeville, TN 38506-4336 | 2020-06-26 |
| 1710502851 | Stepping Stones Therapy LLC | Occupational Therapist | 728 S Jefferson Ave Ste 14, Cookeville, TN 38501-4279 | 2020-06-15 |
| 1356966097 | Joelle Marlin | Social Worker | 442 Neal St, Cookeville, TN 38501-4027 | 2020-06-09 |
| 1841815636 | Ravi Ashokkumar Patel | Counselor | 1819 Summerhaven Ave Apt 1, Cookeville, TN 38501-4919 | 2020-06-08 |
| 1932723426 | Lexa Mclauchlin | Specialist/Technologist | 2980 W Haven Dr, Cookeville, TN 38501-5622 | 2020-06-01 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| Find all providers in COOKEVILLE | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| 1245674779 | Lisa Faye Veal | Licensed Practical Nurse | 2426 Reeser Ln, Cookeville, TN 38501-5633 | 2013-04-26 |
| 1962760926 | Charlotte Walker | Licensed Practical Nurse | 7450 Hilham Rd, Cookeville, TN 38506-9741 | 2012-04-27 |
| 1447483771 | Kristi Leigh Kinnard | Licensed Practical Nurse | 701 County Services Dr., Cookeville, TN 38501 | 2009-09-03 |
| 1558911867 | Cindy Novetri | Licensed Practical Nurse | 1101 Neal St, Cookeville, TN 38501-0901 | 2019-09-18 |
| 1497213896 | Melissa Martin | Licensed Practical Nurse | 701 County Services Dr, Cookeville, TN 38501-4338 | 2019-03-05 |
| 1083151567 | Julie Cales | Licensed Practical Nurse | 701 County Services Dr, Cookeville, TN 38501-4338 | 2017-01-23 |
| 1174060651 | Maria Regis | Licensed Practical Nurse | 701 County Services Dr, Cookeville, TN 38501-4338 | 2017-01-23 |
| 1174071369 | Kimberly Ledbetter | Licensed Practical Nurse | 1101 Neal St, Cookeville, TN 38501-0901 | 2016-09-15 |
| 1881053742 | Salma Ponce-hernandez | Licensed Practical Nurse | 701 County Services Dr, Cookeville, TN 38501-4338 | 2016-02-19 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38505 |
Please comment or provide details below to improve the information on PHYLLIS TUCKER KILGORE.
| 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.