MS. BASILIA PENDLETON DAMERON (NPI# 1700230356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700230356 |
| Entity Type | Individual |
| Full Name | MS. BASILIA PENDLETON DAMERON |
| Credential | N.P. |
| Practice Address |
220 Langland St Knoxville TN 37915-1415 |
| Practice Telephone | 8655945078 |
| Practice Fax Number | 8655943921 |
| Mailing Telephone | 8655945078 |
| Mailing Fax Number | 8655943921 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2018-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APN0000021065 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
220 LANGLAND ST |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37915-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911007 | Nan M. Gaylord | Registered Nurse | 220 Langland St, Knoxville, TN 37915-1415 | 2005-06-08 |
| 1073065918 | Corey Snyder Olson | Social Worker | 220 Langland St, Knoxville, TN 37915-1415 | 2016-10-26 |
| 1821336611 | Katie Ingram Willard | Nurse Practitioner | 220 Langland St, Knoxville, TN 37915-1415 | 2013-01-29 |
| 1952684268 | Alicia M. Alexander | Clinical Nurse Specialist | 220 Langland St, Knoxville, TN 37915-1415 | 2011-09-22 |
| 1003956228 | Katherine H Morgan | Nurse Practitioner | 220 Langland St, Knoxville, TN 37915-1415 | 2007-02-07 |
| 1215010509 | Tamara B Bland | Nurse Practitioner | 220 Langland St, Knoxville, TN 37915-1415 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366756082 | University of Tennessee | Clinical Nurse Specialist | 220 Langland Street, Knoxville, TN 37915 | 2010-08-05 |
| 1568503910 | Mary Fleming Kollar | Student in an Organized Health Care Education/Training Program | Vine Middle School Clinic, 1807 Martin Luther King Avenue, Knoxville, TN 37915 | 2007-02-09 |
| 1396881108 | Breakthrough Corporation | Day Training, Developmentally Disabled Services | 900 East Hill Ave, Suite 145, Knoxville, TN 37915 | 2007-01-29 |
| 1356359319 | Halls Physician Service Pllc | Family Medicine | 7000 Maynardville Hwy, Halls Physician Services Pllc, Knoxville, TN 37915 | 2006-08-04 |
| 1134226343 | Child and Family Tennessee | Social Worker | 901 E Summit Hill Dr, Knoxville, TN 37915-1200 | 2006-09-20 |
| 1457598294 | Thomas Anthony Chilton | Counselor | 901 E Summit Hill Dr, Knoxville, TN 37915-1200 | 2009-01-15 |
| 1194824763 | Suzanne Riepe | Social Worker | 901 E Summit Hill Dr, Knoxville, TN 37915-1200 | 2006-09-21 |
| 1952400723 | Simon Alan Rudolph | Social Worker | 901 E Summit Hill Dr, Knoxville, TN 37915-1200 | 2006-09-21 |
| 1942839311 | Melissa Joanne O'neill | Physician Assistant | 814 Landings River Way Unit 301, Knoxville, TN 37915-1444 | 2020-04-07 |
| 1316085483 | Gwendolyn Carlene Rickett | Registered Nurse | 2202 Martin Luther King Jr Ave, Knoxville, TN 37915-1510 | 2007-02-02 |
| Find all providers in zip 37915 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437523149 | Marissa Grace Warwar | Nurse Practitioner | 2018 Clinch Ave Fl Tower2, Knoxville, TN 37916-2301 | 2015-11-18 |
| 1265803514 | Fauzia Khalid | Nurse Practitioner | 1439 Charlottesville Blvd, Knoxville, TN 37922-6658 | 2015-10-13 |
| 1326377177 | Lori R Hestand | Nurse Practitioner | 9220 Park West Blvd Ste 1, Knoxville, TN 37923-4405 | 2009-12-08 |
| 1205065984 | Sarah Lyttle Jones | Nurse Practitioner | 2072 Lakeside Centre Way, Knoxville, TN 37922-6591 | 2009-07-02 |
| 1508998246 | Cathy Kimball | Nurse Practitioner | 9724 Kingston Pike Ste 1005, Knoxville, TN 37922-6906 | 2007-03-09 |
| 1295822997 | Lawrie Nicholson Treakle | Nurse Practitioner | 2100 W. Clinch Ave Ste 120, Knoxville, TN 37916-2219 | 2006-10-06 |
| 1518060136 | Josephine Swann Nodell | Nurse Practitioner | 4529 Asheville Hwy, Knoxville, TN 37914-3607 | 2006-09-07 |
| 1770548000 | Gail Clift | Nurse Practitioner | 6305 Lonas Dr Ste 101, Knoxville, TN 37909-2732 | 2006-04-19 |
| 1346718020 | Lauri Michelle Gingerich | Nurse Practitioner | 2100 W Clinch Ave, Knoxville, TN 37916-2219 | 2018-11-11 |
| 1720581390 | Melissa Ann Guzman | Nurse Practitioner | 10857 Hardin Valley Rd, Knoxville, TN 37932-1410 | 2018-03-09 |
| 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.