MS. ALECIA NICOLE COLVIN (NPI# 1700245388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700245388 |
Entity Type | Individual |
Full Name | MS. ALECIA NICOLE COLVIN |
Credential | PA-C |
Practice Address |
205 Corporate Pl Alcoa TN 37701-1940 |
Practice Telephone | 8653319050 |
Practice Fax Number | 8653742008 |
Mailing Telephone | 8653319050 |
Mailing Fax Number | 8653742008 |
Enumeration Date | 2016-02-11 |
Last Update Date | 2019-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 3943 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3943T | TN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MED-PAC-LIC-4472 | MT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q052186 | 05 |
Street Address |
205 CORPORATE PL |
City | ALCOA |
State | TN |
Zip Code | 37701-1940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093312415 | Covenant Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 205 Corporate Pl, Alcoa, TN 37701-1940 | 2020-10-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598070807 | Tennessee Vein Center, Pllc | Clinic/Center | 203 Corporate Place, Alcoa, TN 37701 | 2010-08-11 |
1790099638 | Bill Charles Barker | Pharmacist | 225 N. Hall Road, Walgreens, Alcoa, TN 37701 | 2010-08-03 |
1235365453 | Marsh Chiropractic & Wellness Center, LLC | Chiropractor | 1080 Hunters Crossing, Alcoa, TN 37701 | 2009-06-02 |
1457485187 | Romeo San Diego Gomez | Physical Therapist | 101 Gill Street, Alcoa, TN 37701 | 2007-03-15 |
1811039266 | Khaled Othman Abumayaleh | Optometrist | 1030 Hunters Crossing Lane, Alcoa, TN 37701 | 2007-02-13 |
1861558777 | Paula Kay Wolfe | Technician/Technologist | 237 N Calderwood St, Alcoa, TN 37701 | 2006-12-28 |
1194893883 | K Darrel Clagough | Dentist | 310 Sanderson Street, Alcoa, TN 37701 | 2006-12-01 |
1225106008 | David C Finch | Physical Therapist | 1107 N Hall Rd Ste 200, Alcoa, TN 37701 | 2006-12-01 |
1366517070 | Gabriel C Edaugal | Physical Therapist | 101 Gill St, Alcoa, TN 37701 | 2006-11-21 |
1386617462 | Alcoa Senior Center | Clinic/Center | 2445 Calderwood St., Suite C2, Alcoa, TN 37701 | 2006-02-09 |
Find all providers in zip 37701 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558987446 | Caleb Stephens | Physician Assistant | 310 N State of Franklin Rd Ste 101, Johnson City, TN 37604-6063 | 2020-06-17 |
1609308246 | Robert Bryan Whisenhunt | Physician Assistant | Po Box 205, Tullahoma, TN 37388-0205 | 2017-04-02 |
1841744331 | Jessica Leigh Cochran | Physician Assistant | 188 16th Ave Ste 107, Dayton, TN 37321-1037 | 2016-08-12 |
1841690096 | Arun Alex | Physician Assistant | 7277 Charlotte Pike Unit 211, Nashville, TN 37209-5041 | 2014-08-25 |
1174932107 | Stephen Steffey | Physician Assistant | 408 N State of Franklin Rd Ste 31, Johnson City, TN 37604-6088 | 2014-08-04 |
1932450301 | Martha Pamela Guel | Physician Assistant | 2681 Honey Hill Rd, Knoxville, TN 37924-1159 | 2012-09-26 |
1912296468 | Richard Terry Washington Jr. | Physician Assistant | 5108 Singing Hills Dr, Antioch, TN 37013-5694 | 2011-04-05 |
1578889549 | Caryn Louise Mohr | Physician Assistant | 1635 Kimbrough Park Pl, Germantown, TN 38138-2306 | 2010-04-14 |
1578895546 | Carl H. Harris | Physician Assistant | 6946 Finch Rd, Memphis, TN 38141-8598 | 2010-02-02 |
1144463936 | Marcus S. Burns | Physician Assistant | 2010 Church St Ste 700, Nashville, TN 37203-2072 | 2009-04-09 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MS. ALECIA NICOLE COLVIN.
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.