MS. SHANNON TAMIKA FRAZIER (NPI# 1699288340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699288340 |
| Entity Type | Individual |
| Full Name | MS. SHANNON TAMIKA FRAZIER |
| Credential | APN |
| Practice Address |
1372 Main St Altamont TN 37301-3626 |
| Mailing Address |
3415 Fruition Ct Murfreesboro TN 37128-0100 |
| Practice Telephone | 9316923641 |
| Mailing Telephone | 9012300317 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
22544 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3415 Fruition Ct, Murfreesboro, TN 371280100 | 9012300317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295063295 | Shannon Frazier | Pharmacist | 3103 Palmer Hwy, Texas City, TX 77590-6721 | 2009-12-02 |
| 1558478412 | Shannon Frazier | Nurse Practitioner | 1370 13th Ave S, Ste 216, Jacksonville Beach, FL 32250-3230 | 2006-08-24 |
| Street Address |
1372 MAIN ST |
| City | ALTAMONT |
| State | TN |
| Zip Code | 37301-3626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235170267 | Darryl L Adams | Nurse Practitioner | 1372 Main St, Altamont, TN 37301 | 2006-06-09 |
| 1467969535 | Valerie Arnold | Licensed Practical Nurse | 1372 Main St, Altamont, TN 37301-3626 | 2018-01-10 |
| 1477094605 | Angela Frantz | Dentist | 1372 Main St, Altamont, TN 37301 | 2017-03-20 |
| 1457604761 | Kimberly Dawn Simmons | Registered Nurse | 1372 Main St, Altamont, TN 37301-3626 | 2012-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508065939 | Paul Edward Anderson | General Practice | Harboldt Rd, Altamont, TN 37301 | 2007-07-16 |
| 1487867495 | Angela Lynne Horner | Registered Nurse | Grundy County Health Department, 1372 Main Street, Altamont, TN 37301 | 2007-05-07 |
| 1598754541 | Larry Arthur Wiley | Pharmacist | 1595 Main Street, Box 157, Altamont, TN 37301 | 2005-10-20 |
| 1275670879 | State of Tennessee | Public Health or Welfare | 1372 Main Street, Altamont, TN 37301 | 2007-01-31 |
| 1821188632 | Wileys LLC | Pharmacy | 1595 Main Street, Altamont, TN 37301-0157 | 2006-10-13 |
| 1831649631 | Grundy County Department of Education | Local Education Agency (LEA) | 1376 Main St, Altamont, TN 37301-3626 | 2016-10-05 |
| 1568425122 | Charles Barker | Obstetrics & Gynecology | 1372 Main Street, Altamont, TN 37301-3626 | 2006-04-06 |
| 1184919037 | Rocky Top Medical Clinic LLC | Family Medicine | 1595 Main St, Suite B, Altamont, TN 37301-3639 | 2011-06-17 |
| 1841201910 | Bryan E. Knight | Clinic/Center | 1595 Main St, Box 219, Altamont, TN 37301-3639 | 2006-08-11 |
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639214869 | Rosalyn Taylor Laster | Nurse Practitioner | 149 N 12th Ave, Humboldt, TN 38343-2879 | 2007-02-21 |
| 1487707600 | Jennifer Jane Williams | Nurse Practitioner | 154 Blountville Bypass, Blountville, TN 37617-0630 | 2007-01-19 |
| 1679507552 | Janet E Anderson | Nurse Practitioner | James H. Quillen / Vamc, Corner of Sidney and Lamont Johnson City, Mountain Home, TN 37684 | 2006-07-10 |
| 1811530454 | Mendy Pevahouse | Nurse Practitioner | 1512 Coleman Rd, Knoxville, TN 37909-2828 | 2019-10-27 |
| 1700431095 | Terri J Hooper | Nurse Practitioner | 331 W Main St, Morristown, TN 37814-4621 | 2019-08-05 |
| 1710476270 | Dondrea Bostick | Nurse Practitioner | 2101 Medical Center Way, Knoxville, TN 37920-3257 | 2018-05-09 |
| 1821457862 | Community Integrated Healthcare | Nurse Practitioner | 5618 Brainerd Rd, Chattanooga, TN 37411-5310 | 2016-02-18 |
| 1407247315 | Valarie Kershaw-berry | Nurse Practitioner | 3960 Knight Arnold Rd, Ste 108, Memphis, TN 38118-3035 | 2015-02-13 |
| 1174872139 | Methodist Le Bonheur Community Outreach | Nurse Practitioner | 77 Stonebridge Blvd, Jackson, TN 38305-2165 | 2012-09-06 |
| 1326283011 | Laurin Revere Wheaton | Nurse Practitioner | 1009 Windcross Ct, Franklin, TN 37067-2678 | 2008-12-09 |
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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.