TIAH RAE YORK (NPI# 1508322421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508322421 |
| Entity Type | Individual |
| Full Name | TIAH RAE YORK |
| Credential | FNP-C |
| Practice Address |
210 Hospital Cir Choctaw MS 39350-6781 |
| Mailing Address |
121 Tiak Chitto Dr Philadelphia MS 39350-4068 |
| Practice Telephone | 6013894370 |
| Practice Fax Number | 6013894372 |
| Mailing Telephone | 6016506281 |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 879903 | MS | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F02190023 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
210 HOSPITAL CIR |
| City | CHOCTAW |
| State | MS |
| Zip Code | 39350-6781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321354 | Ethel S Beasley | Internal Medicine | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2005-07-28 |
| 1265999247 | Kimberly Lynn Eldridge | Nurse Practitioner | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2019-02-26 |
| 1194280883 | Karen Louise Miller | Nurse Practitioner | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2019-02-06 |
| 1669957833 | Annette Marie Lewis | Social Worker | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-10-03 |
| 1124507223 | Lindsey E Wilson | Dietitian, Registered | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-08-09 |
| 1538648639 | Natalie A Byram | Dietitian, Registered | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-08-09 |
| 1982183083 | Allison Boatner | Dietitian, Registered | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-08-09 |
| 1255843033 | Shannon Victoria Johnson | Nurse Practitioner | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2017-11-01 |
| 1780105239 | Anna Clare Saxon | Dentist | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2017-07-05 |
| 1215462502 | Marjorie Britt | Pharmacist | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2017-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548817133 | Airpark Family Dentistry | Dentist | 1060 Holland Avenue, Philadelphia, MS 39350 | 2019-08-20 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1144759580 | Mapp Home Care Services | In Home Supportive Care | 41 Eastover Dr, Philadelphia, MS 39350 | 2017-06-08 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| 1114339405 | Bernard Oneal | Adult Companion | 10090 Rd 0022, None, Philadelphia, MS 39350 | 2014-05-21 |
| 1417213323 | Region Ten Commision On Mental Health | Clinic/Center | 1011 Posey Avenue, Philadelphia, MS 39350 | 2012-04-04 |
| 1851427132 | Performance Therapy LLC | Physical Therapist | Performance Therapy, LLC, 921 W Beacon Street, Philadelphia, MS 39350 | 2007-02-23 |
| 1922161900 | Ernest Barton Cross | Audiologist | 1120 East Main Street, Suite 4, Philadelphia, MS 39350 | 2006-12-19 |
| 1649348129 | Augustus P Soriano | Family Medicine | 517 Center Avenue, Philadelphia, MS 39350 | 2006-12-01 |
| 1982777983 | Bill G Molpus | Dentist | 247 Byrd Ave, Philadelphia, MS 39350 | 2006-11-16 |
| Find all providers in zip 39350 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548871528 | Elite Wellness Pllc Sara Botchlet Aprn-cnp | Nurse Practitioner | 16925 Ne 23rd St Ste 103, Choctaw, OK 73020-8410 | 2020-08-12 |
| 1790127017 | Trisha Elayne Sutterfield | Nurse Practitioner | 4801 Cedar Mill Rd, Choctaw, OK 73020-3106 | 2013-07-28 |
| 1437712593 | Jennifer Lynn Rich | Nurse Practitioner | 13190 Ne 23rd St, Choctaw, OK 73020-8621 | 2019-04-15 |
| 1265999247 | Kimberly Lynn Eldridge | Nurse Practitioner | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2019-02-26 |
| 1083154918 | Tiffani Lowell | Nurse Practitioner | 15679 Ne 23rd St, Choctaw, OK 73020-8592 | 2017-02-25 |
| 1336684109 | Sandra L Cooper | Nurse Practitioner | 14321 Ne 23rd St, Choctaw, OK 73020-8624 | 2017-01-03 |
| 1477957918 | Tiffany Price | Nurse Practitioner | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2014-10-13 |
| 1194134726 | Choctaw Womens Clinic Pllc | Nurse Practitioner | 14890 Se 29th St, Suite 106, Choctaw, OK 73020-3515 | 2014-08-07 |
| 1396018123 | Teresa K. Cumberland | Nurse Practitioner | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2012-02-09 |
| 1285919753 | Sara Botchlet | Nurse Practitioner | 14890 Se 29th St, Suite 106, Choctaw, OK 73020-3515 | 2011-10-17 |
| Find all providers in CHOCTAW | ||||
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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.