SANDRA L BAILIFF (NPI# 1760476881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760476881 |
| Entity Type | Individual |
| Full Name | SANDRA L BAILIFF |
| Credential | CNP |
| Practice Address |
128 N Whitney Ave Cookeville TN 38501-2493 |
| Mailing Address |
127 N Oak Ave Ste D Cookeville TN 38501-2435 |
| Practice Telephone | 9317834600 |
| Practice Fax Number | 9317834699 |
| Mailing Telephone | 9317835857 |
| Mailing Fax Number | 9317835857 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APN6537 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | PENDING | 05 | |
| KY | PENDING | 05 |
| Street Address |
128 N WHITNEY AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922445378 | Sarah Goodman Worley | Internal Medicine | 128 N Whitney Ave, Cookeville, TN 38501 | 2013-05-24 |
| 1679866412 | Lora Palmer Worsham | Internal Medicine | 128 N Whitney Ave, Cookeville, TN 38501-2493 | 2011-05-26 |
| 1356632152 | Eric Lisic | Family Medicine | 128 N Whitney Ave, Cookeville, TN 38501-2493 | 2011-04-27 |
| 1558561464 | Cedric Morris Palmer Jr. | Family Medicine | 128 N Whitney Ave, Cookeville, TN 38501-2493 | 2007-07-19 |
| 1669406500 | Randy A Gaw | Psychiatry & Neurology | 128 N Whitney Ave, Cookeville, TN 38501-2493 | 2006-07-10 |
| 1790752442 | Beverly Boykin Thomas | Internal Medicine | 128 N Whitney Ave, Cookeville, TN 38501-2493 | 2006-03-01 |
| 1912984196 | Medical Specialists of Cookeville, Pllc | Internal Medicine | 128 N Whitney Ave, Cookeville, TN 38501-2450 | 2005-12-28 |
| 1831174887 | David Bradley Seitzinger | Internal Medicine | 128 N Whitney Ave, Cookeville, TN 38501-2493 | 2005-12-13 |
| 1336133248 | Lori Lynn Austin | Internal Medicine | 128 N Whitney Ave, Cookeville, TN 38501-2493 | 2005-09-07 |
| 1689668790 | Katherine A Bertram | Internal Medicine | 128 N Whitney Ave, Cookeville, TN 38501-2493 | 2005-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710598685 | Ashley Nicole Huddleston | Nurse Practitioner | 1123 West Gate Rd, Cookeville, TN 38501-9410 | 2020-08-13 |
| 1760953590 | Joseph C Archer | Nurse Practitioner | 315 N Washington Ave Ste 165, Cookeville, TN 38501-2623 | 2018-12-05 |
| 1770940249 | Ken Homolya, Md, LLC | Nurse Practitioner | 406 N Whitney Ave Ste 2, Cookeville, TN 38501-4243 | 2016-01-28 |
| 1043588734 | Benjamin Wade Harmon | Nurse Practitioner | 142 West Fifth Street, Cookeville, TN 38501 | 2011-12-08 |
| 1205149705 | Whitney Lachele Matthews | Nurse Practitioner | 851 S Willow Ave Ste 112, Cookeville, TN 38501-4222 | 2010-07-26 |
| 1659531853 | Tamra Casper | Nurse Practitioner | 851 S Willow Ave Ste 108, Cookeville, TN 38501-4223 | 2008-06-11 |
| 1548226376 | Christopher L Hicks | Nurse Practitioner | 203 N Cedar Ave, Cookeville, TN 38501 | 2006-04-21 |
| 1891777017 | Deborah G Hensley | Nurse Practitioner | 406 N. Whitney Avenue, Suite 5, Cookeville, TN 38501 | 2005-11-15 |
| 1063404846 | Monica Lynne Means | Nurse Practitioner | 1100 England Dr, Cookeville, TN 38501-0924 | 2005-08-18 |
| 1053316448 | Scott M Lamb | Nurse Practitioner | 105 S Willow Ave, Cookeville, TN 38501-4667 | 2005-06-14 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.