JAIME DAVIS BYRUM (NPI# 1740362037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740362037 |
| Entity Type | Individual |
| Full Name | JAIME DAVIS BYRUM |
| Other Name | JAIME D DAVIS |
| Credential | PNP, FNP |
| Practice Address |
930 Adell Ree Park Ln Knoxville TN 37909-2543 |
| Practice Telephone | 8657692600 |
| Practice Fax Number | 8657692616 |
| Mailing Telephone | 8657692600 |
| Mailing Fax Number | 8657692616 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
8099 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APN8099 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1510086 | 05 |
| Street Address |
930 ADELL REE PARK LN |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37909-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598859894 | Lorin G Holst | Internal Medicine | 930 Adell Ree Park Ln, Knoxville, TN 37909-2543 | 2006-10-03 |
| 1023644374 | Casey Dawson | Nurse Practitioner | 930 Adell Ree Park Ln, Knoxville, TN 37909-2543 | 2020-03-19 |
| 1336708932 | Alexandaria Marie Bolz | Registered Nurse | 930 Adell Ree Park Ln, Knoxville, TN 37909-2543 | 2019-06-07 |
| 1912429036 | Melinda Jae Wassenaar | Family Medicine | 930 Adell Ree Park Ln, Knoxville, TN 37909-2543 | 2017-07-11 |
| 1164850293 | Tennessee Valley Regional Laboratory | Clinical Medical Laboratory | 930 Adell Ree Park Ln, Knoxville, TN 37909-2543 | 2013-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687534 | Rosalie Ting Mcglashen | Behavioral Analyst | 1508 Coleman Rd., Suites 105 and 110, Knoxville, TN 37909 | 2020-01-06 |
| 1770133597 | Renewal Healthcare | Family Medicine | 7035 Middlebrook Pike, Knoxville, TN 37909 | 2019-09-13 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1750757514 | Victor Brown | Counselor | 1451 Dowell Springs Blvd., Knoxville, TN 37909 | 2015-08-17 |
| 1083012488 | Melissa Wells Woodby | Marriage & Family Therapist | 6305 Lonas Dr, Knoxville, TN 37909 | 2014-12-17 |
| 1417375700 | David Francis Fair | Chiropractor | 1720 Tonalea Rd, Knoxville, TN 37909 | 2014-04-03 |
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1376971085 | Quality Health Clinic LLC | Clinic/Center | 7348 Middlebrook Pike Suite D, Knoxville, TN 37909 | 2013-10-16 |
| 1952737942 | Martirea Fostine Jenkins Pratt | Nurse Practitioner | 930 Adell Ree Park Lane, Knoxville, TN 37909 | 2013-09-23 |
| 1104259324 | Dana Michelle Sweitzer | Nurse Practitioner | 1320 Old Weisgarber Road, Knoxville, TN 37909 | 2013-08-12 |
| Find all providers in zip 37909 | ||||
| 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.