TERRYE MASTIN (NPI# 1730110693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730110693 |
| Entity Type | Individual |
| Full Name | TERRYE MASTIN |
| Credential | APRN,BC |
| Practice Address |
5625 Poplar Ave Memphis TN 38119-3816 |
| Practice Telephone | 9017611220 |
| Practice Fax Number | 9017634332 |
| Mailing Telephone | 9017611220 |
| Mailing Fax Number | 9017634332 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2012-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | APN6208 | TN | Allopathic & Osteopathic Physicians |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
TN6208 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5625 POPLAR AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-3816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932397 | Christopher James Hall | Otolaryngology | 5625 Poplar Ave, Memphis, TN 38119-3816 | 2005-06-16 |
| 1811416159 | Carrie Foley Eaton | Audiologist-Hearing Aid Fitter | 5625 Poplar Ave, Memphis, TN 38119-3816 | 2017-09-19 |
| 1942753041 | Shannon Nicole Lieblong | Audiologist | 5625 Poplar Ave, Memphis, TN 38119-3816 | 2016-07-26 |
| 1790194579 | Catelin J Powell | Audiologist | 5625 Poplar Ave, Memphis, TN 38119-3816 | 2014-08-06 |
| 1407185739 | Leslie Cindy Derat | Audiologist | 5625 Poplar Ave, Memphis, TN 38119-3815 | 2009-12-16 |
| 1336386879 | Matthew Philip Hollis | Audiologist | 5625 Poplar Ave, Memphis, TN 38119-3816 | 2009-01-20 |
| 1609024272 | Stephanie Vining Bowen | Audiologist | 5625 Poplar Ave, Memphis, TN 38119-3816 | 2008-09-08 |
| 1225049141 | Victoria Lynn Lim | Otolaryngology | 5625 Poplar Ave, Memphis, TN 38119-3816 | 2006-08-10 |
| 1871542944 | C Allan Ruleman Jr. | Otolaryngology | 5625 Poplar Ave, Memphis, TN 38119-3816 | 2006-05-08 |
| 1619926847 | Leonard D Wright Jr. | Otolaryngology | 5625 Poplar Ave, Memphis, TN 38119-3816 | 2006-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144559899 | Nila Jean Lawson | Clinical Nurse Specialist | 200 Hudson, Memphis, TN 38152-0001 | 2009-12-09 |
| 1962754937 | Michele Renee Mcelwee | Clinical Nurse Specialist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2012-10-15 |
| 1356504450 | Casmen Jonae Oglesby | Clinical Nurse Specialist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2008-07-08 |
| 1275615429 | Sophia Bonnetia Chandler | Clinical Nurse Specialist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639719867 | Linda S, Dial | Clinical Nurse Specialist | 1301 Medical Center Drive Tvc, Nashville, TN 37232-0001 | 2020-01-15 |
| 1053897728 | Teresa Duncan Webb | Clinical Nurse Specialist | 3045 Boogertown Rd, Sevierville, TN 37876-8860 | 2018-07-16 |
| 1356896377 | Shawn Green | Clinical Nurse Specialist | 5932 Woodlands Ave, Nashville, TN 37211-7536 | 2016-08-19 |
| 1780095109 | Mark Vann Fnp | Clinical Nurse Specialist | 115 N Woodland St, Manchester, TN 37355-1573 | 2014-05-20 |
| 1487083440 | Robin A Chappell | Clinical Nurse Specialist | 143 Old Hickory Blvd, South Fulton, TN 38257-2607 | 2013-11-10 |
| 1720325830 | Luisa Fernanda Leal | Clinical Nurse Specialist | 390 Harding Place Suite 102, Nashville, TN 37211-4770 | 2013-01-09 |
| 1245394428 | Donna P. Sinclair | Clinical Nurse Specialist | 115 Clifty Village Ln, Paris, TN 38242-9177 | 2006-12-21 |
| 1013543354 | Tracy Maurice Abney | Clinical Nurse Specialist | 6236 Stage Rd, Bartlett, TN 38134-3726 | 2020-03-18 |
| 1750835724 | Mittal Kidney and Dialysis | Clinical Nurse Specialist | 300 S Walnut Bend Rd, Ste 12, Cordova, TN 38018-7293 | 2016-08-08 |
| 1376994657 | New Horizon Diabetes Clinic | Clinical Nurse Specialist | 390 Harding Pl, St 102, Nashville, TN 37211-3998 | 2016-06-28 |
| Find all providers with the same taxonomy | ||||
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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.