CORBAN BOYD CRESSLEY (NPI# 1790315695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790315695 |
| Entity Type | Individual |
| Full Name | CORBAN BOYD CRESSLEY |
| Credential | PA, ATC |
| Practice Address |
2004 Hayes St Ste 200 Nashville TN 37203-2689 |
| Practice Telephone | 6153241600 |
| Mailing Telephone | 6153241600 |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2004 HAYES ST STE 200 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-2689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528281623 | Elite Sports Medicine and Orthopaedic Center, Plc | Specialist | 2004 Hayes St Ste 200, Nashville, TN 37203-2646 | 2007-04-10 |
| 1508467358 | Aaren Lashea Holmes | Nurse Practitioner | 2004 Hayes St Ste 200, Nashville, TN 37203-2689 | 2020-11-06 |
| 1154930519 | Thomas Paul Gonsoulin Jr. | Occupational Therapist | 2004 Hayes St Ste 200, Nashville, TN 37203-2689 | 2020-07-30 |
| 1669081790 | Kelsie Ann Frey | Nurse Practitioner | 2004 Hayes St Ste 200, Nashville, TN 37203-2689 | 2020-07-24 |
| 1902368921 | Kirby Marie Hamblen | Physician Assistant | 2004 Hayes St Ste 200, Nashville, TN 37203-2689 | 2019-04-01 |
| 1992273452 | Lindsay Lloyd | Nurse Practitioner | 2004 Hayes St Ste 200, Nashville, TN 37203-2689 | 2018-11-02 |
| 1508364068 | Allison Mccoy | Physician Assistant | 2004 Hayes St Ste 200, Nashville, TN 37203-2689 | 2018-01-30 |
| 1598270936 | Courtney Lynn Beshears | Specialist/Technologist | 2004 Hayes St Ste 200, Nashville, TN 37203-2646 | 2017-12-07 |
| 1659894475 | Corinne Nichole Grgas | Nurse Practitioner | 2004 Hayes St Ste 200, Nashville, TN 37203-2646 | 2017-07-24 |
| 1679804462 | Elite Sports Medicine and Orthopaedic Center, Plc | Nurse Practitioner | 2004 Hayes St Ste 200, Nashville, TN 37203-2646 | 2010-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110831 | Marleen Yosef | Physician Assistant | 6 Whitsett Rd, Nashville, TN 37210-5345 | 2020-09-24 |
| 1457864985 | Shelby Bowman Johnson | Physician Assistant | 2410 Patterson St Bsmt Level, Nashville, TN 37203-1551 | 2017-11-06 |
| 1245609288 | Allegra Richardson | Physician Assistant | 6108 Nashua Ave, Nashville, TN 37209-1220 | 2015-09-21 |
| 1932504206 | Kara Katherine Gaw | Physician Assistant | 719 Thompson Ln Ste 23108, Nashville, TN 37204-7900 | 2014-10-29 |
| 1659775393 | Florida Practitioners, Inc | Physician Assistant | 4220 Wallace Ln, Nashville, TN 37215-3232 | 2014-10-09 |
| 1902237944 | Catherine M Nash | Physician Assistant | 1005 Dr. D.b. Todd, Jr. Blvd, 4th Floor, Nashville, TN 37208 | 2013-12-02 |
| 1871880310 | Cathy Hunt | Physician Assistant | 300 20th Ave N Ste 602, Nashville, TN 37203-5602 | 2011-07-05 |
| 1356406169 | Darren L Eisenhauer | Physician Assistant | 2201 Murphy Ave Ste 201, Nashville, TN 37203 | 2006-12-22 |
| 1881670073 | Timothy David Houle | Physician Assistant | 1 Averitt Express Drive, Nashville, TN 37211 | 2005-12-20 |
| 1174518104 | Karynthia A Phillips | Physician Assistant | 2275 Murfreesboro Pike, Suite 109-110, Nashville, TN 37217-3341 | 2005-09-15 |
| Find all providers in NASHVILLE | ||||
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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.