EMILY MARIE LEIDIG (NPI# 1841807625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841807625 |
Entity Type | Individual |
Full Name | EMILY MARIE LEIDIG |
Credential | AGPCNP BC-C |
Practice Address |
271 Medical Park Blvd Fl 1 Bristol TN 37620-7455 |
Practice Telephone | 4232748600 |
Practice Fax Number | 4233906845 |
Mailing Telephone | 4232748600 |
Mailing Fax Number | 4233906845 |
Enumeration Date | 2020-09-25 |
Last Update Date | 2020-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024180071 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
271 MEDICAL PARK BLVD FL 1 |
City | BRISTOL |
State | TN |
Zip Code | 37620-7455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
Find all providers in zip 37620 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942504451 | Tabitha Wanjiru Moche | Nurse Practitioner | 23 Fair St, Bristol, CT 06010 | 2010-12-28 |
1043321540 | Amanda Marie Swan | Nurse Practitioner | 122 Maple St, Bristol, CT 06010-5093 | 2006-08-31 |
1851370498 | Carline Leclerc Fleig | Nurse Practitioner | 1 Old Ferry Rd, Bristol, RI 02809-2938 | 2006-01-12 |
1588209563 | Rosalyn A Ingram | Nurse Practitioner | 25 Newell Rd, Bristol, CT 06010-5100 | 2019-11-13 |
1912424359 | Kerry-ann Alecia Dudley | Nurse Practitioner | 41 Brewster Rd, Bristol, CT 06010-5161 | 2017-08-26 |
1376060111 | Patricia Lemon Watson | Nurse Practitioner | 11064 Nw Dempsey Barron Rd, Bristol, FL 32321-2622 | 2017-08-23 |
1093246571 | Leigh Frangos-li | Nurse Practitioner | 501 Bath Rd, Bristol, PA 19007-3101 | 2017-03-25 |
1902244650 | Rachel L Freeman | Nurse Practitioner | 1 Medical Park Blvd, Suite 458w, Bristol, TN 37620-7430 | 2013-06-04 |
1306902044 | Anne Marie Andrade | Nurse Practitioner | 1 Old Ferry Rd, Bristol, RI 02809-2923 | 2006-12-28 |
1467536805 | Margaret E Gagner | Nurse Practitioner | 1180 Hope St, Bristol, RI 02809-1126 | 2006-10-24 |
Find all providers in BRISTOL |
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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.