MRS. LORISSA DIAS (NPI# 1609307743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609307743 |
Entity Type | Individual |
Full Name | MRS. LORISSA DIAS |
Practice Address |
426 22nd Ave E Springfield TN 37172 |
Mailing Address |
426 22nd Ave E Springfield TN 37172-3711 |
Practice Telephone | 6153840600 |
Enumeration Date | 2017-03-21 |
Last Update Date | 2019-02-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22446 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
311 Landrum Pl, Clarksville, TN 370436319 | 9319194894 |
Street Address |
426 22ND AVE E |
City | SPRINGFIELD |
State | TN |
Zip Code | 37172 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336202324 | Jennifer Singleton Ashworth | Pediatrics | 426 22nd Ave E, Springfield, TN 37172-3711 | 2006-12-19 |
1841517109 | Miranda Raines Butler | Pediatrics | 426 22nd Ave E, Springfield, TN 37172-3711 | 2010-04-27 |
1013182765 | Ben Hunter Butler | Pediatrics | 426 22nd Ave E, Springfield, TN 37172-3711 | 2008-04-24 |
1871794859 | Mollie P Weinman | Nurse Practitioner | 426 22nd Ave E, Springfield, TN 37172-3711 | 2007-05-29 |
1437369386 | Marlon Lavell Shell | Pediatrics | 426 22nd Ave E, Springfield, TN 37172-3711 | 2007-05-22 |
1871701771 | Erika L Crawford | Pediatrics | 426 22nd Ave E, Springfield, TN 37172-3711 | 2007-05-21 |
1083833347 | Anjeli Kumari Wilson | Pediatrics | 426 22nd Ave E, Springfield, TN 37172-3711 | 2007-04-25 |
1790901049 | Suzanne Glover Spicer | Pediatrics | 426 22nd Ave E, Springfield, TN 37172-3711 | 2007-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447859376 | Results-ast Jv, LLC | Physical Therapist | 3556 Tom Austin Highway, Suite 2, Springfield, TN 37172 | 2020-10-21 |
1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
1922610427 | Jenae Annette Rankin | Physical Therapist | Intelligent Therapy, 719 South Main Street, Springfield, TN 37172 | 2020-08-18 |
1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
1407407968 | Sadie L Shields | Speech-Language Pathologist | Its 3131 Tom Austin Highway, Springfield, TN 37172 | 2019-09-26 |
1871148965 | Austin Chhut | Occupational Therapy Assistant | Intelligent Therapy Staffing, 3131 Tom Austin Hwy, Springfield, TN 37172 | 2019-08-06 |
1013409887 | Springfield Pediatric Dentistry | Dentist | 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 | 2018-06-06 |
1083163752 | The Ridge | Counselor | 514 Hill Street, Springfield, TN 37172 | 2016-09-23 |
1902255516 | Dionna Marino | Case Manager/Care Coordinator | 731 Cheatham Street, Springfield, TN 37172 | 2016-06-06 |
1174964258 | Molly Williams | Registered Nurse | 800 S. Brown Street, Springfield, TN 37172 | 2013-07-17 |
Find all providers in zip 37172 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
1275146268 | Courtney Wilbern | Nurse Practitioner | 1200 W Centre St, Springfield, IL 62704-5812 | 2020-08-28 |
1588276240 | Andrew Ronald Mouser | Nurse Practitioner | 607 Prospect Rd, Springfield, PA 19064-2819 | 2020-08-23 |
1821609082 | William Coleman Bryant | Nurse Practitioner | 5552 W Longleaf Dr, Springfield, MO 65802-7834 | 2020-08-12 |
1386254399 | Ashley Lynn Murray | Nurse Practitioner | 2443 E Greenwood St, Springfield, MO 65804-3907 | 2020-08-04 |
1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 37172 |
Please comment or provide details below to improve the information on MRS. LORISSA DIAS.
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.