KAMEELA E WILLIAMS-JACKSON (NPI# 1790113595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790113595 |
| Entity Type | Individual |
| Full Name | KAMEELA E WILLIAMS-JACKSON |
| Credential | APN |
| Practice Address |
5653 Frist Blvd Suite 630 Hermitage TN 37076-2062 |
| Mailing Address |
222 22nd Ave N Suite 100 Nashville TN 37203-1852 |
| Practice Telephone | 6153913971 |
| Practice Fax Number | 6152323899 |
| Mailing Telephone | 6152842222 |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2015-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
18127 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q011292 | 05 |
| Street Address |
5653 FRIST BLVD SUITE 630 |
| City | HERMITAGE |
| State | TN |
| Zip Code | 37076-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425203 | Cathy A Deppen | Obstetrics & Gynecology | 5653 Frist Blvd, Ste 738, Hermitage, TN 37076-2066 | 2005-05-23 |
| 1821523598 | Elizabeth Anne Hinton | Nurse Practitioner | 5653 Frist Blvd, Suite 330, Hermitage, TN 37076-2062 | 2017-05-01 |
| 1922531482 | Frank Daniel Vann | Family Medicine | 5653 Frist Blvd, Hermitage, TN 37076-2062 | 2017-04-11 |
| 1992241343 | Pinnacle Spine Specialists Pllc | Neurological Surgery | 5653 Frist Blvd, Suite 731, Hermitage, TN 37076-2062 | 2017-01-10 |
| 1396144754 | Tennessee Orthopaedic Alliance Pa | Orthopaedic Surgery | 5653 Frist Blvd, Suite 630, Hermitage, TN 37076-2062 | 2014-08-21 |
| 1538583042 | Amsurg Hermitage Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 5653 Frist Blvd, Suite 532, Hermitage, TN 37076-2062 | 2014-02-05 |
| 1699115154 | Advanced Diagnostic Imaging, PC | Durable Medical Equipment & Medical Supplies | 5653 Frist Blvd, Ste 731, Hermitage, TN 37076 | 2013-06-28 |
| 1720340193 | Frank Kurzynske | Internal Medicine | 5653 Frist Blvd, Suite 236, Hermitage, TN 37076-2062 | 2012-06-12 |
| 1992070452 | Ashley E Myatt | Physician Assistant | 5653 Frist Blvd, Suite 731, Hermitage, TN 37076-2062 | 2012-03-16 |
| 1508136540 | Festus O Imasuen | Marriage & Family Therapist | 5653 Frist Blvd, Suite 740, Hermitage, TN 37076-2062 | 2012-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996583 | Cassandra Renea Brown | Dietitian, Registered | 5653 Frist Blvd Suite 530, Hermitage, TN 37076 | 2019-05-02 |
| 1164979753 | Chelsea Douglas | Nurse Practitioner | 5565 Frist Boulevard, Hermitage, TN 37076 | 2016-09-01 |
| 1417333568 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 3207 Earhart Road, Hermitage, TN 37076 | 2015-07-30 |
| 1578944187 | Middle Tennesse Homes | Intermediate Care Facility, Mentally Retarded | 3209 Earhart Road, Hermitage, TN 37076 | 2015-06-10 |
| 1063835585 | Rachel Jane Morris | Occupational Therapist | 1621 Robindale Dr, Hermitage, TN 37076 | 2014-02-04 |
| 1427488154 | Earhart 1 | Intermediate Care Facility, Mentally Retarded | 3156 Earhart Rd, Nashville, TN 37076 | 2013-11-15 |
| 1669802393 | Tulip Grove #2 | Intermediate Care Facility, Mentally Retarded | 877 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-15 |
| 1780014514 | Tulip Grove Road #1 | Intermediate Care Facility, Mentally Retarded | 869 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-14 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1942545686 | Helping Hands Support Center, Inc. | Home Health | 4060 Andrew Jackson Pkwy #907, Hermitage, TN 37076 | 2012-12-06 |
| Find all providers in zip 37076 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386950236 | Jamie Lynne Kurelko | Nurse Practitioner | 2999 Presidential Blvd, Hermitage, PA 16148-3689 | 2010-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757960 | Stephanie Cook | Nurse Practitioner | 8532 Wood Mills Dr W, Cordova, TN 38016-6169 | 2020-10-16 |
| 1245838713 | Rachel Goddard Claiborne | Nurse Practitioner | 7705 Poplar Ridge Dr, Nashville, TN 37221-2326 | 2020-10-15 |
| 1992303457 | Winnie Warun Kiri | Nurse Practitioner | 4715 Bonny Oaks Dr Apt 308, Chattanooga, TN 37416-3825 | 2020-10-15 |
| 1841807625 | Emily Marie Leidig | Nurse Practitioner | 271 Medical Park Blvd Fl 1, Bristol, TN 37620-7455 | 2020-09-25 |
| 1144831397 | Dana Lynn Marchetti | Nurse Practitioner | 113 Meadowvue Dr, Hendersonville, TN 37075-4212 | 2020-08-12 |
| 1770115925 | Lorne Avery Schwartz | Nurse Practitioner | 5606b Pennsylvania Ave, Nashville, TN 37209-1439 | 2020-02-05 |
| 1477196004 | Brie Lajeret | Nurse Practitioner | 800 Weatherly Dr Ste 201b, Clarksville, TN 37043-8958 | 2019-10-27 |
| 1851946560 | Virginia Elise Schlitt | Nurse Practitioner | 514 Crystal Springs Cir, Johnson City, TN 37615-2359 | 2019-08-08 |
| 1265991871 | Jane Holt | Nurse Practitioner | 647 Dunlop Ln Ste 101, Clarksville, TN 37040-5165 | 2019-03-14 |
| 1902378581 | Revital Health and Wellness Clinics Pllc | Nurse Practitioner | 695 President Pl Ste 200, Smyrna, TN 37167-5681 | 2018-12-20 |
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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.