MRS. KELLEY C BURG (NPI# 1659600344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659600344 |
| Entity Type | Individual |
| Full Name | MRS. KELLEY C BURG |
| Credential | FNP |
| Practice Address |
1700 Woodlawn Ave Dyersburg TN 38024-2028 |
| Practice Telephone | 7312874500 |
| Practice Fax Number | 7312874804 |
| Mailing Telephone | 7312874500 |
| Mailing Fax Number | 7312874804 |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2014-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
14634 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1700 WOODLAWN AVE |
| City | DYERSBURG |
| State | TN |
| Zip Code | 38024-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104810704 | William Neil Mckee | Internal Medicine | 1700 Woodlawn Ave, Dyersburg, TN 38024-2028 | 2005-09-09 |
| 1639794985 | Blake Butler | Specialist/Technologist | 1700 Woodlawn Ave, Dyersburg, TN 38024-2028 | 2020-06-12 |
| 1144845488 | Adam Raines | Specialist/Technologist | 1700 Woodlawn Ave, Dyersburg, TN 38024-2028 | 2020-06-12 |
| 1255954608 | Molly Moody | Speech-Language Pathologist | 1700 Woodlawn Ave, Dyersburg, TN 38024-2028 | 2020-05-20 |
| 1710521372 | Sarah Towler | Physical Therapy Assistant | 1700 Woodlawn Ave, Dyersburg, TN 38024-2028 | 2019-11-06 |
| 1467924613 | Katherine Penn | Occupational Therapist | 1700 Woodlawn Ave, Dyersburg, TN 38024-2028 | 2018-12-28 |
| 1235653353 | Elizabeth Schultz | Occupational Therapist | 1700 Woodlawn Ave, Dyersburg, TN 38024-2028 | 2017-07-31 |
| 1437687092 | Cherie Hickman | Speech-Language Pathologist | 1700 Woodlawn Ave, Dyersburg, TN 38024-2028 | 2017-05-26 |
| 1447788096 | John Sanders | Physical Therapy Assistant | 1700 Woodlawn Ave, Dyersburg, TN 38024-2028 | 2017-05-26 |
| 1699203257 | Jobeth Cook | Speech-Language Pathologist | 1700 Woodlawn Ave, Dyersburg, TN 38024-2028 | 2017-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760273 | Alison Clement | Nurse Practitioner | 750 W Highway 51 Bypass, Dyersburg, TN 38024 | 2020-01-29 |
| 1861030652 | Pagela Jobe | Nurse Practitioner | 750 West Highway 51 Bypass, Dyersburg, TN 38024 | 2019-12-12 |
| 1083184055 | Whitney Young | Nurse Practitioner | 455 East Parkview, Dyersburg, TN 38024 | 2018-12-03 |
| 1518434067 | Myeyedr Optometry of Tennessee, LLC | Optometrist | 400 Us Hwy 51 S, Dyersburg, TN 38024 | 2018-11-01 |
| 1225529142 | Kidney Experts Pllc | Internal Medicine | 1575 Parr Ave # B, Dyersburg, TN 38024 | 2018-05-25 |
| 1407344690 | Darnisha Williams | Pharmacist | 2650 Lake Road, Dyersburg, TN 38024 | 2018-04-24 |
| 1376081547 | Chasidy Branch | Counselor | 640 U.S. Highway 51 Bypass E. Suite M, Dyersburg, TN 38024 | 2017-02-07 |
| 1548671845 | Shree Ramakant Mulay | Internal Medicine | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2014-05-08 |
| 1588904965 | Selina Carol Purvis | Physical Therapy Assistant | 1900 Parr Avenue, Dyersburg, TN 38024 | 2013-02-22 |
| 1326396029 | Tennessee Sleep Managment LLC | Clinic/Center | 1190 Hwy 51 By-pass West, Suite C, Dyersburg, TN 38024 | 2012-08-28 |
| Find all providers in zip 38024 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760273 | Alison Clement | Nurse Practitioner | 750 W Highway 51 Bypass, Dyersburg, TN 38024 | 2020-01-29 |
| 1861030652 | Pagela Jobe | Nurse Practitioner | 750 West Highway 51 Bypass, Dyersburg, TN 38024 | 2019-12-12 |
| 1538690342 | Brittany Bennett | Nurse Practitioner | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2120 | 2017-03-23 |
| 1982008850 | Kalie Foust | Nurse Practitioner | 2550 Parr Ave, Dyersburg, TN 38024-2033 | 2014-10-21 |
| 1396160222 | Wanda Beaver | Nurse Practitioner | 708 E Court St, Dyersburg, TN 38024-4829 | 2014-03-01 |
| 1932449386 | Teresa Ann Stewart | Nurse Practitioner | 1700 Woodlawn Avenue, Dyersburg, TN 38024-1572 | 2013-02-21 |
| 1770763674 | Lucy Elaine Sturdivant | Nurse Practitioner | 2395 Lake Rd, Dyersburg, TN 38024-1831 | 2007-11-07 |
| 1306990262 | Vonda Leeann Emerson | Nurse Practitioner | 1950 Cook Street, Dyersburg, TN 38024 | 2007-01-22 |
| 1942249677 | Sheryl Lynn Wright | Nurse Practitioner | 2017 Saint John Ave, Suite B, Dyersburg, TN 38024-2209 | 2006-06-06 |
| 1891797924 | Syble S Carter | Nurse Practitioner | 520 Parkview E, Dyersburg, TN 38024 | 2005-08-10 |
| Find all providers in DYERSBURG | ||||
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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.