TINA MICHELE WILLIAMS (NPI# 1376894840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376894840 |
| Entity Type | Individual |
| Full Name | TINA MICHELE WILLIAMS |
| Credential | APRN, FNP-C |
| Practice Address |
1520 Slate Creek Rd Suite 205 Grundy VIRGINIA 24614 UM |
| Mailing Address |
Po Box 2917 Pikeville KY 41502-2917 |
| Practice Telephone | 6062183500 |
| Practice Fax Number | 2769350688 |
| Mailing Telephone | 6064373500 |
| Mailing Fax Number | 2769350688 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2017-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007700 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100243540 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393643 | Tina K Williams | Behavior Technician | 189 Village Pass, Statham, GA 30666-1713 | 2019-05-31 |
| 1487172847 | Tina Teresa Williams | Doula | 1416 W 12th St, Frederick, MD 21702-4214 | 2017-09-06 |
| 1154659100 | Tina Denise Williams | Nurse Practitioner | 4299 Elvis Presley Blvd Ste 4, Memphis, TN 38116 | 2009-12-03 |
| 1174753750 | Tina Williams | Counselor | 2621 5th Ave, Suite 4, Scottsbluff, NE 69361-1745 | 2009-07-17 |
| 1689795528 | Tina Rene Williams | Social Worker | 318 W Palmer St, Compton, CA 90220-2107 | 2007-04-02 |
| 1588671978 | Tina Michelle Williams | Dermatology | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 | 2006-08-01 |
| 1386698249 | Tina Marie Williams | Speech-Language Pathologist | 155 Black Plain Rd, Exeter, RI 02822-2108 | 2006-05-22 |
| 1407478795 | Tina Cecelia Williams | Counselor | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-05-11 |
| 1568022176 | Tina M Williams | Nurse Practitioner | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2019-06-17 |
| 1932661519 | Tina Bailey Williams | Speech-Language Pathologist | 11721 Kemp Mill Rd, Silver Spring, MD 20902-1722 | 2019-04-03 |
| Street Address |
1520 SLATE CREEK RD SUITE 205 |
| City | GRUNDY |
| State | VIRGINIA |
| Zip Code | 24614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861962425 | Leah Jessee | Nurse Practitioner | 1107 Riverview Street, Grundy, VA 24614 | 2018-11-27 |
| 1467989137 | Amanda Fletcher | Nurse Practitioner | 1298 Lick Log Road, Grundy, VA 24614 | 2017-05-12 |
| 1578800967 | Coetta Lynn Neece | Nurse Practitioner | 18334 Riverside Drive, Grundy, VA 24614 | 2013-01-07 |
| 1881980647 | Ngd Incorporated | Pharmacy | 1063 Edgewater Dr., Grundy, VA 24614 | 2011-06-21 |
| 1710291216 | Pamela D Harrison | Nurse Practitioner | 28567 Riverside Drive, Grundy, VA 24614 | 2010-07-27 |
| 1477889111 | Susan Buskill Fogg | Counselor | 19873 Riverside Drive, Grundy, VA 24614 | 2009-10-31 |
| 1336396043 | Maranda Gayle Fletcher-meadows | Speech-Language Pathologist | 5820 Slate Creek Road, Grundy, VA 24614 | 2008-08-25 |
| 1528282241 | Joshua P Sutherland Jr PC | Family Medicine | 20886 Riverside Drive, Grundy, VA 24614 | 2007-04-12 |
| 1043339989 | Grundy Internal Medicine, PC | Internal Medicine | 1532 Slate Creek Road, Ste 203, Grundy, VA 24614 | 2007-03-29 |
| 1740305309 | David Allen Gettman | Pharmacist | University of Appalachia College of Pharmacy, Route 3 Box 182, Grundy, VA 24614 | 2007-03-20 |
| Find all providers in zip 24614 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336500560 | Comprehensive Family Practice, Inc | Nurse Practitioner | 18334 Riverside Dr, Grundy, VA 24614-7182 | 2016-03-16 |
| 1467791244 | Adam Craig Stiltner | Nurse Practitioner | 1109 Plaza Dr, Grundy, VA 24614-6780 | 2013-02-13 |
| 1578800967 | Coetta Lynn Neece | Nurse Practitioner | 18334 Riverside Drive, Grundy, VA 24614 | 2013-01-07 |
| 1710291216 | Pamela D Harrison | Nurse Practitioner | 28567 Riverside Drive, Grundy, VA 24614 | 2010-07-27 |
| 1548829021 | Pamela Looney | Nurse Practitioner | 1532 Slate Creek Rd Ste 106, Grundy, VA 24614-6975 | 2019-06-10 |
| 1609369933 | Amanda Marie Lester | Nurse Practitioner | 1107 Riverview St, Grundy, VA 24614 | 2018-06-12 |
| 1376093096 | Juanita Keen | Nurse Practitioner | 1532 Slate Creek Rd, Suite 101, Grundy, VA 24614-6975 | 2016-10-05 |
| 1508263088 | Riverside Medical Clinic Inc | Nurse Practitioner | 20886 Riverside Dr, Grundy, VA 24614-9597 | 2014-11-26 |
| 1922428697 | Rachel Ann Fuller | Nurse Practitioner | 1532 Slate Creek Rd, Suite 101, Grundy, VA 24614-6975 | 2014-04-22 |
| 1295067957 | Freda Y Powers | Nurse Practitioner | 1532 Slate Creek Rd, Ste 106, Grundy, VA 24614-6975 | 2010-02-05 |
| Find all providers in GRUNDY | ||||
Please comment or provide details below to improve the information on TINA MICHELE WILLIAMS.
| 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.