MRS. FELECIA GAIL ABDELFATTAH (NPI# 1497768451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497768451 |
| Entity Type | Individual |
| Full Name | MRS. FELECIA GAIL ABDELFATTAH |
| Credential | APRN BC |
| Practice Address |
26 Midway Street Bristol TN 37620 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 4239894500 |
| Practice Fax Number | 4239894582 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673696 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 0017137018 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | RN0001086415 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | LNP24164353 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | APN7668 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHCS | 620582605 | 01 | |
| INITIAL GROUP | 620582605 | 01 | |
| VALUE OPTIONS | 334969 | 01 | |
| DOL WORKERS COMP | 351654200 | 01 | |
| MENTAL HEALTH NETW | 620582605 | 01 | |
| TRICARE SOUTH | 620582605 | 01 | |
| COMPSYCH | 188508 | 01 | |
| THREE RIVERS PROVI | 620582605 | 01 | |
| TN | 3729687 | 05 | |
| UBH JOHN DEERE | 620582605BE | 01 | |
| TN | 3349063 | 05 | |
| HIGHLANDS WELLMONT | 620582605 | 01 |
| Street Address |
26 MIDWAY STREET |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235141367 | Margaret L Cress | Marriage & Family Therapist | 26 Midway Street, Brcc, Bristol, TN 37620 | 2006-08-13 |
| 1184845927 | George Harold Naramore | Psychiatry & Neurology | 26 Midway Street, Bristol, TN 37620 | 2007-05-01 |
| 1326186693 | Ginger C Hood | Social Worker | 26 Midway Street, Bristol, TN 37620 | 2007-02-01 |
| 1457455461 | Jacinta Tamara Stumbo | Counselor | 26 Midway Street, Bristol Regional Counseling Center, Bristol, TN 37620 | 2006-09-11 |
| 1962415901 | Kathryn Martin Pitini | Social Worker | 26 Midway Street, Bristol, TN 37620 | 2006-08-14 |
| 1356354435 | Joe Wayne Page | Marriage & Family Therapist | 26 Midway Street, Bristol, TN 37620 | 2006-08-13 |
| 1518970615 | Steve Lee Leach | Registered Nurse | 26 Midway Street, Bristol Regional Counseling Center, Bristol, TN 37620 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1710289871 | Jennifer Lee Griffin | Nurse Practitioner | 210 Memorial Drive, Healing Hands Health Center, Bristol, TN 37620 | 2010-11-23 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1598777260 | Brittney D. Vestal | Nurse Practitioner | 240 Medical Park Blvd Ste 3000, Bristol, TN 37620-7352 | 2006-08-12 |
| 1033139613 | Lynne M Whitney | Nurse Practitioner | 25 Newell Rd Ste E36, Bristol, CT 06010-5132 | 2006-07-19 |
| 1447283395 | Linda A Davidson | Nurse Practitioner | 410 Stagecoach Rd, Bristol, VA 24201-8359 | 2006-07-07 |
| 1457304073 | Catherine C Tilson | Nurse Practitioner | 205 Piedmont Ave, Bristol, VA 24201-4167 | 2006-05-17 |
| 1518598978 | Pamela D Burdett | Nurse Practitioner | 280 Steeles Rd, Bristol, TN 37620-9520 | 2020-02-03 |
| 1447894308 | Kathryn Kellie Brown | Nurse Practitioner | 200 Spring Hill Ter, Bristol, VA 24201-1800 | 2019-11-04 |
| Find all providers in BRISTOL | ||||
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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.