NICKOLAS JAMES SIMPSON (NPI# 1750921862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750921862 |
| Entity Type | Individual |
| Full Name | NICKOLAS JAMES SIMPSON |
| Practice Address |
1123 N Main St Dyer TN 38330-1019 |
| Mailing Address |
9527 State Route 381 Sedalia KY 42079-9445 |
| Practice Telephone | 7316922853 |
| Practice Fax Number | 7316922367 |
| Mailing Telephone | 6153084903 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1123 N MAIN ST |
| City | DYER |
| State | TN |
| Zip Code | 38330-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942294574 | Edna R Leitherland | Nurse Practitioner | 1123 N Main St, Dyer, TN 38330-1019 | 2005-09-09 |
| 1114400587 | Ttrn Medical Services Pllc | Nurse Practitioner | 1123 N Main St, Dyer, TN 38330-1019 | 2018-09-12 |
| 1376712448 | Leitherland Family Care Clinic, Pllc | Clinic/Center | 1123 N Main St, Dyer, TN 38330-1019 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063747491 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 S. Peck's Switch, Dyer, TN 38330 | 2009-10-02 |
| 1154656585 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 135 Peck's Switch Cove, Dyer, TN 38330 | 2009-10-02 |
| 1841332855 | Dyer Nursing Home, Inc. | Skilled Nursing Facility | 1124 North Main, Dyer, TN 38330-0160 | 2007-02-13 |
| 1053618298 | Cassandra Prestininzi | Speech-Language Pathologist | 353 W Broad St, Dyer, TN 38330-1405 | 2011-02-24 |
| 1104445659 | Paul Thomas Blair | Occupational Therapist | 322 E College St, Dyer, TN 38330-1730 | 2020-04-14 |
| 1225011455 | Derek Holyfield | Pharmacist | 137 S Main St, Dyer, TN 38330-1815 | 2005-11-22 |
| 1811197395 | Dyer Station Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 137 S Main St, Dyer, TN 38330-1815 | 2007-07-23 |
| 1952409823 | Gary James Buchanan | Pharmacist | 137 S Main St, Dyer, TN 38330-1815 | 2006-09-21 |
| 1043318975 | Kelly Michelle Weaver | Pharmacist | 137 S Main St, Dyer, TN 38330-1815 | 2006-09-21 |
| 1457338022 | Douglas R Duncan | Pharmacist | 137 S Main St, Dyer, TN 38330-1815 | 2005-12-27 |
| Find all providers in zip 38330 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240030 | Chelsea Joyce | Physician Assistant | 86 Yorkville Hwy, Dyer, TN 38330-4004 | 2020-03-20 |
| 1285073841 | Tiffany Erin O'hern | Physician Assistant | 1532 Calumet Ave, Dyer, IN 46311-1505 | 2013-06-17 |
| 1770952236 | Ashley Ramos | Physician Assistant | 1001 Calumet Ave, Dyer, IN 46311 | 2015-09-15 |
| 1265812739 | Amanda Sedoris | Physician Assistant | 24 Joliet St, Dyer, IN 46311-1705 | 2015-05-31 |
| 1396053641 | Erin Bartels | Physician Assistant | 919 Main St, Ste. 204, Dyer, IN 46311-3717 | 2010-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737354 | Adrienne Smith | Physician Assistant | 5200 Park Ave Ste 100, Memphis, TN 38119-3505 | 2020-10-12 |
| 1417555459 | Kaitlyn Jones | Physician Assistant | 1229 Reserve Blvd Ste 200, Spring Hill, TN 37174-3274 | 2020-10-12 |
| 1861099491 | Caraline Berlynn Mcdowell | Physician Assistant | 284 Clearlake Dr W, Nashville, TN 37217-4547 | 2020-10-06 |
| 1508463365 | Logan Curran Martin | Physician Assistant | 5431 Edmondson Pike # 10, Nashville, TN 37211-5806 | 2020-10-05 |
| 1487261798 | Charity Grace Coppedge | Physician Assistant | 105 Twin Oaks Dr, Nashville, TN 37211-2765 | 2020-09-30 |
| 1316554884 | Brianna Bingham | Physician Assistant | 619 Blizzard Mines Rd, Harriman, TN 37748-3852 | 2020-09-28 |
| 1871100586 | Emily Philpott | Physician Assistant | 905 20th Ave S Apt 1306, Nashville, TN 37203-2672 | 2020-09-27 |
| 1063028876 | Emma Landers | Physician Assistant | 1534 Douglas Ave, Nashville, TN 37206-2309 | 2020-09-17 |
| 1730795527 | Melanie Rees | Physician Assistant | 111 33rd Ave S Apt 102, Nashville, TN 37212-3241 | 2020-09-17 |
| 1265048268 | Olivia Meers | Physician Assistant | 1080 Cedarview Ln, Franklin, TN 37067-4068 | 2020-09-16 |
| 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.