TARA DEATHERIDGE DUKE (NPI# 1780096552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780096552 |
Entity Type | Individual |
Full Name | TARA DEATHERIDGE DUKE |
Credential | FNP |
Practice Address |
741 President Pl Suite 210 Smyrna TN 37167-6807 |
Practice Telephone | 6152235565 |
Practice Fax Number | 6152235509 |
Mailing Telephone | 6152235565 |
Mailing Fax Number | 6152235509 |
Enumeration Date | 2014-05-28 |
Last Update Date | 2014-05-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18693 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
741 PRESIDENT PL SUITE 210 |
City | SMYRNA |
State | TN |
Zip Code | 37167-6807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962407031 | Susan Elizabeth Langone | Pediatrics | 741 President Pl, Ste 210, Smyrna, TN 37167-6809 | 2005-06-16 |
1780064907 | Dental Edge of Smyrna | Clinic/Center | 741 President Pl, Suite 120, Smyrna, TN 37167-6807 | 2015-06-03 |
1013300045 | Casey M Meeks | Nurse Practitioner | 741 President Pl, Suite 200, Smyrna, TN 37167-6807 | 2015-03-16 |
1447661384 | Tennessee Medicine & Pediatrics | Nurse Practitioner | 741 President Pl, Suite 200, Smyrna, TN 37167-6807 | 2014-05-14 |
1710269634 | David N Cox | Physical Therapist | 741 President Pl, 130, Smyrna, TN 37167-6807 | 2011-09-16 |
1497040901 | The Dental Edge of Smyrna | Dentist | 741 President Pl, Suite 120, Smyrna, TN 37167-6807 | 2011-06-13 |
1871893594 | Bonnie Jo Dziesinski | Physician Assistant | 741 President Pl, Suite 200, Smyrna, TN 37167-6807 | 2010-10-27 |
1912159179 | Lisa Marie Reaves | Physical Therapist | 741 President Pl, Suite 130, Smyrna, TN 37167-6807 | 2008-10-21 |
1073719977 | Nurture Pediatrics, Pllc | Pediatrics | 741 President Pl, Suite 210, Smyrna, TN 37167-6807 | 2007-06-26 |
1801007596 | Heather Phillips | Internal Medicine | 741 President Pl, Suite 200, Smyrna, TN 37167-6807 | 2007-05-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
Find all providers in zip 37167 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487260972 | Olivia Sims Michel | Nurse Practitioner | 3375 Spring Hill Pkwy Se Apt 1729, Smyrna, GA 30080-6867 | 2020-09-20 |
1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
1336606060 | Eunice Carreen Boyd-gant | Nurse Practitioner | 249 Arrowood Dr, Smyrna, DE 19977-4443 | 2019-02-28 |
1801351564 | Nicole Howard | Nurse Practitioner | 100 S Main St Ste 205, Smyrna, DE 19977-1479 | 2019-02-07 |
1104390491 | Lydia Al-awabdy | Nurse Practitioner | 501 Tackett Farms Rd, Smyrna, GA 30082-3918 | 2019-01-19 |
1346714094 | Angelica Marie Epps | Nurse Practitioner | 1505 Countryside Pl Se, Smyrna, GA 30080-8247 | 2019-01-16 |
1871085530 | Jessica Rose Goergen | Nurse Practitioner | 4441 Atlanta Rd Se Ste 317, Smyrna, GA 30080-6443 | 2018-05-30 |
1063965168 | Tehri Kellie Roberts | Nurse Practitioner | 300 Stonecrest Blvd Ste 210, Smyrna, TN 37167-6800 | 2016-07-26 |
1164885935 | Jullie Sweetser | Nurse Practitioner | 4452 Oakdale Rd Se, Smyrna, GA 30080-6934 | 2016-03-30 |
1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
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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.