KANSAS JESSEE KRABBE (NPI# 1750930400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750930400 |
Entity Type | Individual |
Full Name | KANSAS JESSEE KRABBE |
Credential | FNP-C |
Practice Address |
1501 W Elk Ave Elizabethton TN 37643-2854 |
Mailing Address |
Po Box 955 Castlewood VA 24224-0955 |
Practice Telephone | 4235421300 |
Enumeration Date | 2019-09-05 |
Last Update Date | 2019-10-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26587 | TN | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BOARD CERTIFICATION | F09190352 | 01 |
Street Address |
1501 W ELK AVE |
City | ELIZABETHTON |
State | TN |
Zip Code | 37643-2854 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225018088 | Michael Philip Ulmer | Nurse Anesthetist, Certified Registered | 1501 W Elk Ave, Elizabethton, TN 37643-2874 | 2006-01-18 |
1821611708 | Robert Clinton Love Jr. | Physician Assistant | 1501 W Elk Ave, Elizabethton, TN 37643-2874 | 2020-05-26 |
1043797970 | Jeremy Shane Adkins | Registered Nurse | 1501 W Elk Ave, Elizabethton, TN 37643-2874 | 2018-07-24 |
1922519693 | Katrina D Edwards | Registered Nurse | 1501 W Elk Ave, Elizabethton, TN 37643-2874 | 2017-10-20 |
1689065872 | Megan Stuart | Nurse Practitioner | 1501 W Elk Ave, Elizabethton, TN 37643-2874 | 2015-02-10 |
1982095436 | Ronald Taylor | Physician Assistant | 1501 W Elk Ave, Elizabethton, TN 37643-2874 | 2015-02-05 |
1598172157 | Valley Ridge Emergency Physicians, LLP | Emergency Medicine | 1501 W Elk Ave, Elizabethton, TN 37643-2874 | 2014-07-16 |
1184974107 | Thessa Reisler Denton | Nurse Anesthetist, Certified Registered | 1501 W Elk Ave, Elizabethton, TN 37643-2874 | 2012-09-18 |
1083865752 | Darlene Kay Smith | Registered Nurse | 1501 W Elk Ave, Elizabethton, TN 37643-2874 | 2008-09-30 |
1629242029 | Mary R. Garland | Nurse Anesthetist, Certified Registered | 1501 W Elk Ave, Elizabethton, TN 37643-2874 | 2008-04-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558831115 | Blue Ridge Medical Management Corporation | Internal Medicine | 404 Bemberg Rd, Elizabethton, TN 37643 | 2018-11-27 |
1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
1437533924 | Dr. Benjamin D. Parrish and Assoc Od. PC | Optometrist | 114 S. Sycamore St, Elizabethton, TN 37643 | 2015-07-14 |
1972980431 | Valerie Lynn Pierce | Nurse's Aide | 101 Crowe Rd, Elizabethton, TN 37643 | 2015-05-04 |
1679816730 | Jeremy Meyer | Surgery | 1497 W Elk Ave Ste 10, Elizabethton, TN 37643 | 2013-03-27 |
1649579087 | Melinda Lynn Jennings | Pharmacist | 507 West Elk Ave, Elizbethton, TN 37643 | 2011-03-24 |
1588987036 | Troy Kevin Covarrubias | Driver | 219 Coal Chute Rd, Elizabethton, TN 37643 | 2010-03-11 |
1649502048 | Derek Charles Rhoton | Physician Assistant | 1500 West Elk Ave, Elizabethton, TN 37643 | 2010-02-10 |
1144456047 | Peacock Medical Equipment and Home Health Care LLC | Home Health | 1201 Highway 19 E Bypass Suite 3, Elizabethton, TN 37643 | 2009-06-05 |
1235386434 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1210 Militia Ct., Elizabethton, TN 37643 | 2008-08-19 |
Find all providers in zip 37643 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275149155 | Emily Morefield | Nurse Practitioner | 209 Constitution Ave, Elizabethton, TN 37643-7247 | 2020-09-16 |
1265059059 | Taylor Tyree | Nurse Practitioner | 1575 Broad St, Elizabethton, TN 37643-6152 | 2020-06-29 |
1245640085 | Amy Clark | Nurse Practitioner | 1641 Highway 19e Byp, Elizabethton, TN 37643-4646 | 2014-05-01 |
1508182783 | Annetta Lee Nave | Nurse Practitioner | 412 Holly Ln, Elizabethton, TN 37643-2642 | 2010-04-14 |
1043282502 | Beverly Ann Bradshaw | Nurse Practitioner | 2521 Beechwood Dr, Elizabethton, TN 37643-5062 | 2006-02-07 |
1982210928 | Bridget Mashburn | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2020-09-16 |
1386119733 | Rebecca Morris | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2018-10-11 |
1760965628 | Prabha Jaishwal Long | Nurse Practitioner | 1505 W Elk Ave Ste 2, Elizabethton, TN 37643-2848 | 2018-09-07 |
1114419728 | Alicia S Emery | Nurse Practitioner | 851 W Elk Ave, Elizabethton, TN 37643-2946 | 2018-05-31 |
1225579600 | Jessica Rachel Odell | Nurse Practitioner | 1497 W Elk Ave, Suite 21, Elizabethton, TN 37643-2895 | 2017-03-17 |
Find all providers in ELIZABETHTON |
City | ELIZABETHTON |
Zip Code | 37643 |
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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.