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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q016084 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528351236 | Ashley N Reagan | Specialist | 11565 Sw Durham Rd Ste 110, Tigard, OR 97224-3553 | 2011-05-27 |
Street Address |
118 BROWN AVE STE 103 |
City | CROSSVILLE |
State | TN |
Zip Code | 38555-7739 |
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 |
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 |
Find all providers in zip 38555 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | CROSSVILLE |
Zip Code | 38555 |
Please comment or provide details below to improve the information on ASHLEY RENEE REAGAN.
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.