CONNIE ELAINE RAWLS (NPI# 1528033016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528033016 |
Entity Type | Individual |
Full Name | CONNIE ELAINE RAWLS |
Credential | FNPC |
Practice Address |
1420 W Baddour Pkwy Suite 100 Lebanon TN 37087-1510 |
Mailing Address |
528 Stonegate Pl Brentwood TN 37027-4388 |
Practice Telephone | 6154533645 |
Practice Fax Number | 6154532675 |
Mailing Telephone | 6153767820 |
Enumeration Date | 2006-02-20 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5654 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1420 W BADDOUR PKWY SUITE 100 |
City | LEBANON |
State | TN |
Zip Code | 37087-1510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952376444 | Thomas Hayes Holland | Physician Assistant | 1420 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-1510 | 2006-02-20 |
1619346178 | Philip Farrelly | Physical Therapist | 1420 W Baddour Pkwy, Suite 120, Lebanon, TN 37087-1510 | 2015-09-15 |
1316320302 | Himmat Kaur Victoria | Counselor | 1420 W Baddour Pkwy, Suite 240, Lebanon, TN 37087-1510 | 2015-07-08 |
1982034997 | Courtney Pope | Physical Therapist | 1420 W Baddour Pkwy, Suite 120, Lebanon, TN 37087-1510 | 2013-11-13 |
1013290725 | Courtney A Steele | Physical Therapist | 1420 W Baddour Pkwy, Ste 120, Lebanon, TN 37087-1510 | 2011-09-20 |
1417127010 | Sarah Beidler Moats | Physical Therapist | 1420 W Baddour Pkwy, 120, Lebanon, TN 37087-1510 | 2008-03-10 |
1649448739 | Leah Janeen Mcneese | Physical Therapist | 1420 W Baddour Pkwy, Suite 120, Lebanon, TN 37087-1510 | 2008-02-12 |
1861580516 | Gina Granstaff | Physical Therapy Assistant | 1420 W Baddour Pkwy, Lebanon, TN 37087-1510 | 2006-10-10 |
1093768137 | Lebanon Hma Physician Management LLC | Internal Medicine | 1420 W Baddour Pkwy, Lebanon, TN 37087-1510 | 2006-05-18 |
1891760872 | Jennifer Jacobson Goshow | Physician Assistant | 1420 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-1510 | 2006-02-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
Find all providers in zip 37087 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720645161 | Christine Rose Dobbs | Nurse Practitioner | 509 S 4th St, Lebanon, PA 17042-6806 | 2019-05-21 |
1770048787 | Heather R Wells | Nurse Practitioner | 726 E Main St Ste F #205, Lebanon, OH 45036-1900 | 2019-02-04 |
1962745356 | Angie C Riddle | Nurse Practitioner | 1430 W Baddour Pkwy Ste A, Lebanon, TN 37087-2656 | 2013-04-03 |
1154686673 | Stephanie Ruckman | Nurse Practitioner | 115 Moriah Dr, Lebanon, TN 37090-0731 | 2012-07-10 |
1629622204 | Kelly Ann Wheeler | Nurse Practitioner | 252 S 4th St, Lebanon, PA 17042-6111 | 2019-07-31 |
1053874263 | Maria Michelle Druckman | Nurse Practitioner | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2019-04-13 |
1326567017 | Keith Walter Edinger | Nurse Practitioner | 1700 South Lincoln Avenue, Lebanon, PA 17042 | 2017-09-13 |
1295196673 | Amelia Jo Horn | Nurse Practitioner | 1600 W Main St, Lebanon, IN 46052 | 2016-03-14 |
1558600239 | Carole L Putnam | Nurse Practitioner | 18 Old Etna Road, Sleep Medicine, Lebanon, NH 03766 | 2013-01-31 |
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1750982658 | Kirsten Marie Doerfer | Nurse Practitioner | 8512 Golden Cloud Ln, Knoxville, TN 37931-3164 | 2020-11-06 |
1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
1033724349 | Tatum Lee Severino I | Nurse Practitioner | 8819 Three Chimneys Dr E, Germantown, TN 38138-8206 | 2020-09-14 |
1871106930 | Munira Asif | Nurse Practitioner | 874 Schilling Farm Rd Apt 106, Collierville, TN 38017-7039 | 2020-08-28 |
1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
1578197836 | Jessica Pratt | Nurse Practitioner | 512 Marbury Rd, Tullahoma, TN 37388-2142 | 2020-02-26 |
1730729278 | Anna Abigail Markus | Nurse Practitioner | 211 Long Branch Rd, Lawrenceburg, TN 38464-5400 | 2020-01-13 |
1023653037 | Staci Garner | Nurse Practitioner | 2508 Highway 130, Petersburg, TN 37144-8001 | 2019-11-13 |
1881238533 | Janna Rae Haskins | Nurse Practitioner | 5137 Vinnie Dell Drive, Chapel Hill, TN 37034 | 2019-11-05 |
1124676325 | Marde M Walker | Nurse Practitioner | 8225 Highway 51 North, Millington, TN 38053 | 2019-08-30 |
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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.