ROBERSON RIKE CLINIC (NPI# 1821383670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821383670 |
| Entity Type | Organization |
| Organization Name | ROBERSON RIKE CLINIC |
| Practice Address |
768 Everett St. Tiptonville TN 38079 |
| Practice Telephone | 7312533760 |
| Mailing Telephone | 7312533760 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2012-08-21 |
| Authorized Official Name | DONNA RIKE (OWNER) |
| Authorized Official Telephone | 7312533760 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1524187 | 05 |
| Street Address |
768 EVERETT ST. |
| City | TIPTONVILLE |
| State | TN |
| Zip Code | 38079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356893044 | John Mancell | Pharmacist | 650 Carl Perkins Pkwy, Tiptonville, TN 38079 | 2016-10-27 |
| 1982048757 | Astin Berry | Physical Therapy Assistant | 3195 Cates Landing Rd N, Tiptonville, TN 38079 | 2013-04-24 |
| 1366648735 | Amanda Collins | Physician Assistant | Northwest Corrections, Tiptonville, TN 38079 | 2007-06-22 |
| 1710011994 | Sandra Lynnette Smith | Registered Nurse | 400 Hwy 78 S, Tiptonville, TN 38079 | 2007-03-16 |
| 1871643031 | State of Tennessee | Public Health or Welfare | 400 Hwy 78 South, Tiptonville, TN 38079 | 2007-01-11 |
| 1508807736 | Daniel W. Bruce | Legal Medicine | 708 Everett St, Tiptonville, TN 38079 | 2006-06-09 |
| 1841311529 | Citizens of Lake County for Health Care Inc | Clinic/Center | 710 Carl Perkins Pkwy, Tiptonville, TN 38079 | 2007-04-02 |
| 1770012676 | Main Street Family Care Pllc | Clinic/Center | 211 Church St, Tiptonville, TN 38079-1109 | 2017-06-06 |
| 1689914632 | Kerri A Ervin | Nurse Practitioner | 211 Church St, Tiptonville, TN 38079-1109 | 2013-02-27 |
| 1366614588 | Blue Ribbon Dental Center LLC | Health Maintenance Organization | 211 Church St, Tiptonville, TN 38079-1109 | 2008-03-27 |
| Find all providers in zip 38079 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689914632 | Kerri A Ervin | Nurse Practitioner | 211 Church St, Tiptonville, TN 38079-1109 | 2013-02-27 |
| 1164745998 | Deborah S Nale | Nurse Practitioner | 710 Carl Perkins Pkwy, Tiptonville, TN 38079-1678 | 2010-03-08 |
| 1407999683 | Misty C Barker | Nurse Practitioner | 768 Everett St, Tiptonville, TN 38079-1608 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | TIPTONVILLE |
| Zip Code | 38079 |
Please comment or provide details below to improve the information on ROBERSON RIKE CLINIC.
| 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.