ALLERGY TREATMENT AND DIAGNOSTIC CENTER, LLC (NPI# 1407247935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407247935 |
| Entity Type | Organization |
| Organization Name | ALLERGY TREATMENT AND DIAGNOSTIC CENTER, LLC |
| Practice Address |
130 E Locust St Dresden TN 38225-1467 |
| Mailing Address |
708 E Court St Dyersburg TN 38024-4829 |
| Practice Telephone | 7312858247 |
| Practice Fax Number | 7313345732 |
| Mailing Telephone | 7312858247 |
| Mailing Fax Number | 7313345732 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | MRS. SHERYL WRIGHT (ORGANIZER) |
| Authorized Official Telephone | 7312856110 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
16412 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
130 E LOCUST ST |
| City | DRESDEN |
| State | TN |
| Zip Code | 38225-1467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184611923 | Jack J 'buddy' Glisson | Internal Medicine | 130 E Locust St, Dresden, TN 38225-1467 | 2005-10-05 |
| 1881025997 | Dresden Chiropractic and Physical Therapy, Pllc | Physical Therapist | 130 E Locust St, Dresden, TN 38225-1467 | 2013-11-29 |
| 1306271994 | Dresden Family Clinic LLC | Clinic/Center | 130 E Locust St, Dresden, TN 38225-1467 | 2013-09-13 |
| 1194098145 | Kelly Smith Barnes | Nurse Practitioner | 130 E Locust St, Dresden, TN 38225-1467 | 2012-02-21 |
| 1750572210 | Kenneth Wayne Springer | Physical Therapist | 130 E Locust St, Dresden, TN 38225-1467 | 2007-08-08 |
| 1366430993 | Kumar P Yogesh | Internal Medicine | 130 E Locust St, Dresden, TN 38225-1467 | 2005-10-07 |
| 1255328035 | Dresden Medical Associates, P. C. | Internal Medicine | 130 E Locust St, Dresden, TN 38225-1467 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164572327 | State of Tennessee | Public Health or Welfare | 9852 Hwy 22, Dresden, TN 38225 | 2007-01-11 |
| 1174626899 | Tennessee Cvs Pharmacy LLC | Pharmacy | 6616 Greenfield Hwy 54, Dresden, TN 38225 | 2006-09-07 |
| 1629284294 | Freds Stores of Tennessee Inc | Pharmacy | 8487 Highway 22, Dresden, TN 38225 | 2007-05-14 |
| 1790075281 | Mckenzie Medical Center | Pharmacy | 136 S Wilson St # B, Dresden, TN 38225-1133 | 2011-04-18 |
| 1720075633 | Elizabeth A Riddle | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2005-10-05 |
| 1134689920 | Mary Rebecca Wall | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2019-03-20 |
| 1326430620 | Erin Nicole Legens | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2015-02-23 |
| 1497178693 | Ccc Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 136 S Wilson St, Dresden, TN 38225-1133 | 2014-01-24 |
| 1497069603 | Farrah Rae Vernon | Family Medicine | 136 S Wilson St, Dresden, TN 38225-1133 | 2010-07-29 |
| 1881681666 | Mark A Cooper | Internal Medicine | 136 S Wilson St, Dresden, TN 38225-1133 | 2005-10-05 |
| Find all providers in zip 38225 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161766 | Rebecca Schaben | Nurse Practitioner | 8800 Frazeysburg Rd, Dresden, OH 43821-9473 | 2020-10-12 |
| 1295294833 | Devan Louise Sceurman | Nurse Practitioner | 4080 Red Bud Rd, Dresden, OH 43821-7527 | 2019-03-13 |
| 1902310618 | Shawdare Miriam Kelly | Nurse Practitioner | 914 High St, Dresden, OH 43821-9782 | 2017-11-17 |
| 1720075633 | Elizabeth A Riddle | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2005-10-05 |
| 1134689920 | Mary Rebecca Wall | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2019-03-20 |
| 1588186688 | Lindsay Jessup | Nurse Practitioner | 1211 Chestnut St, Dresden, OH 43821-9738 | 2017-07-10 |
| 1326430620 | Erin Nicole Legens | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2015-02-23 |
| 1346658663 | Barbara Montgomery | Nurse Practitioner | 8598 Highway 22, Dresden, TN 38225-2308 | 2014-07-30 |
| 1194098145 | Kelly Smith Barnes | Nurse Practitioner | 130 E Locust St, Dresden, TN 38225-1467 | 2012-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALLERGY TREATMENT AND DIAGNOSTIC CENTER, LLC.
| 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.