TARA DEATHERIDGE DUKE


Address: 741 President Pl, Suite 210, Smyrna, TN 37167-6807
Phone: 6152235565

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
18693 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 741 PRESIDENT PL
SUITE 210
City SMYRNA
State TN
Zip Code 37167-6807

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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Competitor

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City SMYRNA
Zip Code 37167

Improve Information

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Dataset Information

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.

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