ASHLEY RENEE REAGAN


Address: 118 Brown Ave, Ste 103, Crossville, TN 38555-7739
Phone: 9314848861

ASHLEY RENEE REAGAN (NPI# 1790025302) 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) 1790025302
Entity Type Individual
Full Name ASHLEY RENEE REAGAN
Other Name ASHLEY RENEE DODSON
Credential PA-C
Practice Address 118 Brown Ave
Ste 103
Crossville
TN 38555-7739
Practice Telephone 9314848861
Practice Fax Number 9314561319
Mailing Telephone 9314848861
Mailing Fax Number 9314561319
Enumeration Date 2013-02-19
Last Update Date 2020-06-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 2303 TN Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
2303 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN Q016084 05

Other Providers ASHLEY REAGAN

NPI Name Taxonomy Address Enumeration
1528351236 Ashley N Reagan Specialist 11565 Sw Durham Rd Ste 110, Tigard, OR 97224-3553 2011-05-27

Office Location

Street Address 118 BROWN AVE
STE 103
City CROSSVILLE
State TN
Zip Code 38555-7739

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295815850 Jon Alan Simpson Orthopaedic Surgery 118 Brown Ave, Ste 103, Crossville, TN 38555-7739 2006-10-17
1780092031 David Lloyd Williams Occupational Therapist 118 Brown Ave, Suite 104, Crossville, TN 38555-7739 2014-07-31
1760826473 Patrice Marie Koser Occupational Therapy Assistant 118 Brown Ave, Suite 104, Crossville, TN 38555-7739 2013-04-24
1689858664 Cumberland Occupational and Urgent Care Center LLC Clinic/Center 118 Brown Ave, Suite 102, Crossville, TN 38555-7739 2007-12-26
1033313945 Jon Alan Simpson Orthopaedic Surgery 118 Brown Ave, Ste 103, Crossville, TN 38555-7739 2007-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679106306 North Main Medical, LLC Family Medicine 3094 N Mainst, Crossville, TN 38555 2020-02-21
1013566991 Arehart Enterprises Plc Anesthesiology 181 Matherly Street, Crossville, TN 38555 2019-09-04
1194220236 William Stacy Swafford Pain Medicine 181 Matherly St, Crossville, TN 38555 2018-03-29
1871024539 Adam Hill Nurse Practitioner 229 Interstate Dr Ste 103, Crossville, TN 38555 2017-03-24
1568862639 Happy Hearts Home Care LLC Home Health 61 Birchwood Lane, Crossville, TN 38555 2014-08-26
1891072187 Quality Medical Center, PC Clinic/Center 15 Walker Hill Cir, Crossville, TN 38555 2011-11-15
1306137393 Beatrice L. Durham Family Medicine 421 South Main St., Crossville, TN 38555 2011-04-25
1881901353 Donna Laughter Licensed Practical Nurse 1503 South Main St., Crossville, TN 38555 2010-09-07
1922311083 Carl Thomas Duer Sr. General Practice 840 Holiday Dr, Crossville, TN 38555 2010-07-19
1295048445 Michael Lee Hamby Pharmacist 85 Elmore Ave, Crossville, TN 38555 2010-07-16
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558987446 Caleb Stephens Physician Assistant 310 N State of Franklin Rd Ste 101, Johnson City, TN 37604-6063 2020-06-17
1609308246 Robert Bryan Whisenhunt Physician Assistant Po Box 205, Tullahoma, TN 37388-0205 2017-04-02
1841744331 Jessica Leigh Cochran Physician Assistant 188 16th Ave Ste 107, Dayton, TN 37321-1037 2016-08-12
1841690096 Arun Alex Physician Assistant 7277 Charlotte Pike Unit 211, Nashville, TN 37209-5041 2014-08-25
1174932107 Stephen Steffey Physician Assistant 408 N State of Franklin Rd Ste 31, Johnson City, TN 37604-6088 2014-08-04
1932450301 Martha Pamela Guel Physician Assistant 2681 Honey Hill Rd, Knoxville, TN 37924-1159 2012-09-26
1912296468 Richard Terry Washington Jr. Physician Assistant 5108 Singing Hills Dr, Antioch, TN 37013-5694 2011-04-05
1578889549 Caryn Louise Mohr Physician Assistant 1635 Kimbrough Park Pl, Germantown, TN 38138-2306 2010-04-14
1578895546 Carl H. Harris Physician Assistant 6946 Finch Rd, Memphis, TN 38141-8598 2010-02-02
1144463936 Marcus S. Burns Physician Assistant 2010 Church St Ste 700, Nashville, TN 37203-2072 2009-04-09
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Competitor

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City CROSSVILLE
Zip Code 38555

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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