ALEXIS C. BRADDOCK (NPI# 1720533110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720533110 |
| Entity Type | Individual |
| Full Name | ALEXIS C. BRADDOCK |
| Credential | NP-C |
| Practice Address |
1321 Murfreesboro Pike Ste 510 Nashville TN 37217-2655 |
| Mailing Address |
3153 Langley Dr Franklin TN 37064-6221 |
| Practice Telephone | 6153671860 |
| Practice Fax Number | 6153671861 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21567 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Donelson Pike, Suite B-5, Nashville, TN 372172934 | 6153657908 |
| Street Address |
1321 MURFREESBORO PIKE STE 510 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37217-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649271578 | Odyssey Healthcare Operating A, Lp | Hospice Care, Community Based | 1321 Murfreesboro Pike Ste 510, Nashville, TN 37217-2655 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184079 | Heart and Soul Hospice LLC | Hospice Care, Community Based | 402 Bna Corporate Dr., Suite 305, Nashville, TN 37217 | 2020-11-03 |
| 1194332148 | Talley Boarding Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2741 Smith Springs Rd, Nashville, TN 37217 | 2020-09-24 |
| 1114543154 | Optum Pharmacy 701, LLC | Pharmacy | 800 Airpark Center Drive, Suite 809, Nashville, TN 37217 | 2020-06-24 |
| 1346861309 | Rx Clinic LLC | Family Medicine | 1046 Mcgavock Pike Ste A, Nashville, TN 37217 | 2020-04-30 |
| 1366935777 | Horizon Star Healthcare, Inc. | Nursing Care | 2201 Murfreesboro Pike Ste D-109, Nashville, TN 37217 | 2018-06-11 |
| 1649790056 | Mid-cumberland Human Resource Agency | Non-emergency Medical Transport (VAN) | 1101 Kermit Drive, Ste 300, Nashville, TN 37217 | 2017-06-27 |
| 1699216762 | Rocky Mountain Holdings, LLC | Ambulance | 603 Hangar Ln, Nashville, TN 37217 | 2017-03-09 |
| 1053715870 | Ida Michelle Daughtry | Physical Therapist | 1120 Twin Circle Drive, Nashville, TN 37217 | 2014-10-22 |
| 1497158885 | Rebeccah Fore | Preferred Provider Organization | 331 Plus Park Blvd. #150, Nashville, TN 37217 | 2014-09-30 |
| 1326465089 | Eberechi Obi Onyejiaka | Custodial Care Facility | 525 Galesburg Ct., Nashville, TN 37217 | 2014-03-19 |
| Find all providers in zip 37217 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1629684568 | Kathryn Ann Vago | Nurse Practitioner | 320 Doe Ridge Ct, Nashville, TN 37214-4741 | 2020-09-16 |
| 1275149163 | Courtney Lee Hunt | Nurse Practitioner | 5202 Centennial Blvd Ste 110, Nashville, TN 37209-1478 | 2020-09-16 |
| 1205441276 | Amy J Evans | Nurse Practitioner | 912a Spain Ave, Nashville, TN 37216-3625 | 2020-09-15 |
| 1285248898 | Stephanie Logan | Nurse Practitioner | 4720 Brighton Village Dr Unit A8, Nashville, TN 37211-6672 | 2020-09-01 |
| 1811500739 | Lauren Megan Jones | Nurse Practitioner | 1204b N 6th St, Nashville, TN 37207-5518 | 2020-08-29 |
| 1841802741 | Shasti Miller | Nurse Practitioner | 512 Old Hickory Blvd Apt 1819, Nashville, TN 37209-6104 | 2020-08-20 |
| 1770193633 | Nesheba Joy Facey-thomas | Nurse Practitioner | 1413 Ramble Hill Cir, Nashville, TN 37211-8530 | 2020-08-05 |
| Find all providers in NASHVILLE | ||||
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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.