KARLI QUALLS (NPI# 1679904494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679904494 |
| Entity Type | Individual |
| Full Name | KARLI QUALLS |
| Credential | PA-C |
| Practice Address |
228 W 4th St Suite 200 Cookeville TN 38501-2488 |
| Practice Telephone | 9313720405 |
| Practice Fax Number | 9313720463 |
| Mailing Telephone | 9313720405 |
| Mailing Fax Number | 9313720463 |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2017-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2443 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 6093446 | 01 |
| Street Address |
228 W 4TH ST SUITE 200 |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982605382 | Jennifer L Mabry | Registered Nurse | 228 W 4th St, Ste 200, Cookeville, TN 38501-2488 | 2005-08-09 |
| 1043652738 | Angeli B Swallows | Nurse Practitioner | 228 W 4th St, Suite 301, Cookeville, TN 38501-2488 | 2013-07-23 |
| 1841497203 | Brian R Dulin | Internal Medicine | 228 W 4th St, Suite 200, Cookeville, TN 38501-2488 | 2007-06-29 |
| 1083743413 | Brian Keith Dockery | Internal Medicine | 228 W 4th St, Suite 200, Cookeville, TN 38501-2488 | 2007-03-02 |
| 1588733877 | Tennessee Heart Pllc | Specialist | 228 W 4th St, Suite 200, Cookeville, TN 38501-2489 | 2006-11-08 |
| 1104925536 | Mark Wathen | Internal Medicine | 228 W 4th St, Suite 200, Cookeville, TN 38501-2488 | 2006-09-22 |
| 1265480867 | Steven Bickel | Physician Assistant | 228 W 4th St, Suite 301, Cookeville, TN 38501-2488 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700298700 | Best Weigh Weight Loss Center, LLC | Physician Assistant | 921 S Willow Ave Ste A, Cookeville, TN 38501-4155 | 2014-05-24 |
| 1811983588 | Hillard F Butcher Jr. | Physician Assistant | 404 N Hickory Ave, Cookeville, TN 38501-2431 | 2005-09-27 |
| 1730183583 | Mildred Sue Officer Dyer | Physician Assistant | 135 W 3rd St, Cookeville, TN 38501-2478 | 2005-06-09 |
| 1164056495 | Molly Kate Campbell | Physician Assistant | 406 N Whitney Ave Ste 5, Cookeville, TN 38501-4243 | 2020-02-25 |
| 1275174013 | Andrea Elizabeth Kooch | Physician Assistant | 100 W 4th St, Cookeville, TN 38501-2448 | 2019-10-02 |
| 1700344249 | Lindsey Wright | Physician Assistant | 1101 Neal St, Cookeville, TN 38501-0901 | 2019-03-04 |
| 1437678554 | Elizabeth Kay Elsea Wilmore | Physician Assistant | 150 N Willow Ave, Cookeville, TN 38501-2368 | 2017-09-11 |
| 1497207633 | Kara Stringer | Physician Assistant | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2016-11-03 |
| 1124578984 | Caitlin Locke | Physician Assistant | 340 N Cedar Ave, Cookeville, TN 38501-2421 | 2016-10-05 |
| 1902353659 | William Bradley Mccrary | Physician Assistant | 562 W Main St, Cookeville, TN 38506-5382 | 2016-09-09 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on KARLI QUALLS.
| 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.