LEAH BAILIFF (NPI# 1629112990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629112990 |
Entity Type | Individual |
Full Name | LEAH BAILIFF |
Credential | NP |
Practice Address |
1930 Alcoa Hwy Ste 145 Knoxville TN 37920 |
Mailing Address |
Po Box 699 Mountain Home TN 37684-0699 |
Practice Telephone | 8655823123 |
Practice Fax Number | 8653055857 |
Mailing Telephone | 4234336039 |
Mailing Fax Number | 4234336060 |
Enumeration Date | 2007-02-19 |
Last Update Date | 2018-12-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
11582 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | STATE LICENSE | APN11582 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
400 N State of Franklin Rd, Johnson City, TN 376046035 | 4234316671 | 4234313681 |
Street Address |
1930 ALCOA HWY STE 145 |
City | KNOXVILLE |
State | TN |
Zip Code | 37920 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891033395 | Amanda Leigh Scogin | Nurse Practitioner | 1930 Alcoa Hwy Ste 145, Knoxville, TN 37920 | 2013-01-18 |
1952628240 | Kerry Allison Prescott | Registered Nurse | 1930 Alcoa Hwy Ste 145, Knoxville, TN 37920-1546 | 2010-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
Find all providers in zip 37920 |
Taxonomy Code | 363LN0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962589697 | Julie A. Starr | Nurse Practitioner | 10025 Cheltenham Dr, Knoxville, TN 37922-5765 | 2006-11-01 |
1184046260 | Emily Weseman | Nurse Practitioner | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2014-01-09 |
1891033395 | Amanda Leigh Scogin | Nurse Practitioner | 1930 Alcoa Hwy Ste 145, Knoxville, TN 37920 | 2013-01-18 |
1619271277 | Stefani D Nevils | Nurse Practitioner | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2010-12-22 |
1609177211 | Karen Goodrick | Nurse Practitioner | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2010-11-12 |
1417258757 | Linda Parisi | Nurse Practitioner | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2010-11-03 |
1871811281 | Miranda Zolman | Nurse Practitioner | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2010-05-10 |
1316270341 | Jennifer J Mason | Nurse Practitioner | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2009-09-09 |
1073702742 | Kelly N Greene | Nurse Practitioner | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2007-10-18 |
1326117102 | Ellen M Fisher | Nurse Practitioner | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2006-11-07 |
Find all providers in KNOXVILLE |
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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.