NIKKI REALIN (NPI# 1447735311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447735311 |
| Entity Type | Individual |
| Full Name | NIKKI REALIN |
| Practice Address |
135 Walker St Sparta TN 38583-1725 |
| Mailing Address |
1100 England Dr Cookeville TN 38501-0924 |
| Practice Telephone | 9318362201 |
| Mailing Telephone | 9315204466 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
24271 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
135 WALKER ST |
| City | SPARTA |
| State | TN |
| Zip Code | 38583-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811049331 | State of Tennessee | Public Health or Welfare | 135 Walker St, Sparta, TN 38583-1725 | 2007-01-17 |
| 1881220333 | Crystal Marie Prall | Registered Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2020-03-17 |
| 1255978375 | Chelsea D Mathieu | Registered Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2019-12-09 |
| 1174085443 | Kathryn Kowalski | Nurse Practitioner | 135 Walker St, Sparta, TN 38583-1725 | 2019-04-04 |
| 1316438047 | Ginny Caudle | Registered Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2018-05-29 |
| 1740797448 | Kendra L Oliver | Licensed Practical Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2018-01-03 |
| 1124471818 | Kathy Qualls | Licensed Practical Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2016-07-18 |
| 1609251099 | Regan Stewart | Registered Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2015-07-27 |
| 1023374634 | Molly Ann Kimmell | Registered Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2012-04-09 |
| 1447473491 | Kendra Lynn Jared | Registered Nurse | 135 Walker St, Sparta, TN 38583-1725 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769047 | Results-ast Jv, LLC | Physical Therapist | 421 Sewell Road, Sparta, TN 38583 | 2020-10-26 |
| 1588282917 | Rock House Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 25 N Spring St, Sparta, TN 38583 | 2020-07-13 |
| 1881215333 | Nancy Marie Rutherford | Physical Therapist | 421 Sewell Drive, Sparta, TN 38583 | 2020-05-06 |
| 1942798210 | Oscar Dale Sims | Pharmacist | 202 Sam Walton Drive, Sparta, TN 38583 | 2018-04-23 |
| 1932622644 | Medicherla Shyam Sunder Kumar | Internal Medicine | 401 Sewell Road, Sparta, TN 38583 | 2017-07-25 |
| 1972852341 | Jtp Enterprises, LLC | Clinic/Center | 287 Turntable Rd., Sparta, TN 38583 | 2012-08-31 |
| 1154619898 | Abbie Howell | Pharmacist | 460 West Bockman Way, Sparta, TN 38583 | 2011-07-15 |
| 1164556759 | Leslie Ann Reagan | Pharmacist | 207 West Town Plaza, Sparta, TN 38583 | 2007-03-15 |
| 1497809875 | Waymon Haston | Dentist | 9-a Hampton Drive, Sparta, TN 38583 | 2007-01-22 |
| 1407920127 | Jeffry Alan Belknap | Internal Medicine | 809 W Bockman Way, Sparta, TN 38583 | 2006-11-17 |
| Find all providers in zip 38583 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386951 | Katherine Grace Dymacz | Nurse Practitioner | 376 Lafayette Rd Ste 101, Sparta, NJ 07871-3560 | 2020-11-04 |
| 1275152696 | Sage Wellness Clinic, LLC | Nurse Practitioner | 14 Liberty Sq, Sparta, TN 38583-2044 | 2020-04-15 |
| 1043790504 | Regional Services | Nurse Practitioner | 8520 Mo-14, Sparta, MO 65753 | 2018-08-15 |
| 1265957054 | Laura Allese Hall | Nurse Practitioner | 150 Sam Walton Dr Ste 600, Sparta, TN 38583-8814 | 2017-08-14 |
| 1649436965 | Sarah Catherine Sandgran | Nurse Practitioner | 26 Gail Ct Ste 2a, Sparta, NJ 07871-3487 | 2008-08-06 |
| 1548450349 | Bryan L. Logan | Nurse Practitioner | 155 Village Drive, Sparta, MO 65673 | 2007-07-27 |
| 1407968936 | Maria Haydon Buttner | Nurse Practitioner | 11 Centre Street, Theatre Center, Sparta, NJ 07871 | 2006-08-31 |
| 1003881244 | Deanne C Rieckenberg | Nurse Practitioner | 215 S Burns Ave, Sparta Medical Office, Sparta, IL 62286 | 2006-02-21 |
| 1356338982 | Jennifer L Hart | Nurse Practitioner | 11 Theatre Ctr, Sparta, NJ 07871-2433 | 2005-09-29 |
| 1942761929 | Kathleen Loyd | Nurse Practitioner | 150 Sam Walton Dr, Sparta, TN 38583-8815 | 2019-03-30 |
| Find all providers in SPARTA | ||||
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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.