SUSAN R GOBLE (NPI# 1811212962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811212962 |
| Entity Type | Individual |
| Full Name | SUSAN R GOBLE |
| Credential | FNP |
| Practice Address |
1206 Highway 411 Vonore TN 37885-2455 |
| Practice Telephone | 4238847271 |
| Practice Fax Number | 4238843277 |
| Mailing Telephone | 4238847271 |
| Mailing Fax Number | 4238843277 |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2011-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 14943 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1522908 | 05 |
| Street Address |
1206 HIGHWAY 411 |
| City | VONORE |
| State | TN |
| Zip Code | 37885-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255096 | Elizabeth A Park | Nurse Practitioner | 1206 Highway 411, Vonore, TN 37885-2455 | 2005-06-19 |
| 1396275228 | Laura Elizabeth Dewalt | Family Medicine | 1206 Highway 411, Vonore, TN 37885-2455 | 2017-06-13 |
| 1851835524 | Erin Grace Lay | Registered Nurse | 1206 Highway 411, Vonore, TN 37885-2455 | 2016-12-14 |
| 1053763060 | Tabitha Diane Walker | Nurse Practitioner | 1206 Highway 411, Vonore, TN 37885-2455 | 2016-07-01 |
| 1457712424 | Katy Tilley | Nurse Practitioner | 1206 Highway 411, Vonore, TN 37885-2455 | 2016-03-17 |
| 1730564113 | Mary Keller Brown | Nurse Practitioner | 1206 Highway 411, Vonore, TN 37885-2455 | 2015-07-27 |
| 1730569716 | Megan Paz | Pediatrics | 1206 Highway 411, Vonore, TN 37885-2455 | 2015-06-04 |
| 1790176634 | Kelci Hunter | Nurse Practitioner | 1206 Highway 411, Vonore, TN 37885-2455 | 2015-02-13 |
| 1841614815 | Charles Cyrus | Nurse Practitioner | 1206 Highway 411, Vonore, TN 37885-2455 | 2014-02-12 |
| 1386951614 | Amanda Kay Shelton | Counselor | 1206 Highway 411, Vonore, TN 37885-2455 | 2010-09-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871723361 | Blount Memorial Hospital, Inc | Family Medicine | 110 Deer Crossing, Vonore, TN 37885 | 2009-07-20 |
| 1407821069 | Shawn Christian Davies | Specialist/Technologist | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-02-17 |
| 1245251156 | Blount Memorial Occupational Health | Clinic/Center | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-07-23 |
| 1376511931 | Edward Stephen Ellis | Internal Medicine | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-03-09 |
| 1669449989 | Jennifer Saunders Shepherd | Physical Therapist | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-03-06 |
| 1871568428 | Candace Michelle Yates | Specialist/Technologist | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-02-17 |
| 1194274225 | Tina Billings | Health Educator | 365 Gun Ridge Rd, Vonore, TN 37885-2207 | 2016-09-30 |
| 1942543871 | K-va-t Food Stores Inc | Pharmacy | 2120 Highway 411, Vonore, TN 37885-2220 | 2013-03-28 |
| 1790055259 | Chota Community Health Services | Social Worker | 414 Hall St, Vonore, TN 37885-2338 | 2011-12-30 |
| 1639239791 | Tellico Bay Counseling & Wellness Center | Counselor | 104 Dawson St, Vonore, TN 37885-2416 | 2006-12-11 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255096 | Elizabeth A Park | Nurse Practitioner | 1206 Highway 411, Vonore, TN 37885-2455 | 2005-06-19 |
| 1730564113 | Mary Keller Brown | Nurse Practitioner | 1206 Highway 411, Vonore, TN 37885-2455 | 2015-07-27 |
| 1619182433 | Anita G Pazourek | Nurse Practitioner | 1206 Highway 411, Vonore, TN 37885-2455 | 2007-05-14 |
| 1245273796 | Jennifer C Mckenzie | Nurse Practitioner | 1206 Highway 411, Vonore, TN 37885-2455 | 2006-06-13 |
| 1376585356 | Janet M Johnson | Nurse Practitioner | 1206 Highway 411, Vonore, TN 37885-2455 | 2006-06-12 |
| 1407893852 | Janet C Binkley | Nurse Practitioner | 1206 Highway 411, Vonore, TN 37885-2455 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204038 | Ann Clare Guest | Nurse Practitioner | 1483 Goodbar Ave, Memphis, TN 38104-4912 | 2020-10-28 |
| 1770183055 | Paige Sellers | Nurse Practitioner | 104 Colbert Way, Nashville, TN 37206-1052 | 2020-10-27 |
| 1487253035 | John Dowlen | Nurse Practitioner | 808 Danbury Cove Pl, Signal Mountain, TN 37377-1777 | 2020-10-23 |
| 1144829839 | Douglas Arthur Mcinnis Jr. | Nurse Practitioner | 7464 River Road Pike, Nashville, TN 37209-5729 | 2020-10-22 |
| 1225636871 | Natalie Scott | Nurse Practitioner | 144 Gail Dr, Hendersonville, TN 37075-3494 | 2020-10-15 |
| 1952908154 | Courtney Diane Vance | Nurse Practitioner | 936 Station View Rd, Knoxville, TN 37919-2034 | 2020-10-01 |
| 1093322042 | Meghan Nicole Adams | Nurse Practitioner | 1508 Carl Adams Dr Unit 200, Murfreesboro, TN 37129-4375 | 2020-09-24 |
| 1871108092 | Kimberly Jean Palmer | Nurse Practitioner | 6940 Millersburg Rd, Christiana, TN 37037-5708 | 2020-09-14 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1154936946 | Allyson Escott Dormois | Nurse Practitioner | 130 Flicker St, Memphis, TN 38104-5928 | 2020-09-09 |
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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.