BETHANY BUISSON (NPI# 1861845356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861845356 |
| Entity Type | Individual |
| Full Name | BETHANY BUISSON |
| Other Name | BETHANY WILSON |
| Credential | PA-C |
| Practice Address |
9160 Highway 64 Ste 105 Lakeland TN 38002-3011 |
| Mailing Address |
3729 Old Creek Cv Bartlett TN 38135-2496 |
| Practice Telephone | 9012130100 |
| Practice Fax Number | 9012130101 |
| Mailing Telephone | 9012163576 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9160 HIGHWAY 64 STE 105 |
| City | LAKELAND |
| State | TN |
| Zip Code | 38002-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467978403 | Mallory Stephens Tatum | Physician Assistant | 9160 Highway 64 Ste 105, Lakeland, TN 38002-3011 | 2017-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649836636 | Sunshine and Smiles, LLC. | Home Health | 160 Hidden Lake Cove, Arlington, TN 38002 | 2019-05-15 |
| 1679050934 | Alisha James-scott | Nurse Practitioner | 9025 Us-64, Lakeland, TN 38002 | 2018-07-19 |
| 1720577513 | Heavenly Senior Transport Services LLC | Non-emergency Medical Transport (VAN) | 5995 Garret Valley Ln, Arlington, TN 38002 | 2018-05-07 |
| 1962915959 | Southern Dental of Brunswick Pllc | Dentist | 8755 Chaffee Road, Suite 103, Arlington, TN 38002 | 2017-11-13 |
| 1346750619 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 5226 Airline Rd, 121, Arlington, TN 38002 | 2017-10-02 |
| 1528577210 | Celia Mae Noble | Speech-Language Pathologist | 5940 Griffin Rd, Arlington, TN 38002 | 2017-09-25 |
| 1568996064 | Joshua Davis Bravo | Physical Therapist | 5226 Airline Rd Ste 131, Arlington, TN 38002 | 2017-04-12 |
| 1952773053 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11003 Highway 70, Arlington, TN 38002 | 2015-10-28 |
| 1124490222 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11443 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| 1245602341 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11455 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| Find all providers in zip 38002 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483619 | Melodey Aguirre | Physician Assistant | 3810 S Florida Ave Ste 120, Lakeland, FL 33813-1129 | 2020-09-24 |
| 1093321580 | Alison Palmer | Physician Assistant | 409 Aberdeen Ct N, Lakeland, FL 33813-1602 | 2020-09-20 |
| 1205448792 | Aditi Patel | Physician Assistant | 2151 Southern Oaks Ln, Lakeland, FL 33813-3197 | 2020-08-18 |
| 1780151605 | Leah Marie Carroll | Physician Assistant | 5216 Scotland Pl, Lakeland, FL 33813-3063 | 2018-10-29 |
| 1205327046 | Deniz Nebi | Physician Assistant | 1417 Lakeland Hills Blvd Ste 104, Lakeland, FL 33805-3200 | 2018-05-29 |
| 1568962017 | Gabriela Victoria Gamero | Physician Assistant | 6500 N Socrum Loop Rd # 100, Lakeland, FL 33809-4179 | 2018-02-20 |
| 1841691136 | Colleen Morrison | Physician Assistant | 1610 Clarendon Ave, Lakeland, FL 33803-2506 | 2014-09-06 |
| 1003176322 | Nathaly Antigua Suarez | Physician Assistant | 1157 Thomasville Cir, Lakeland, FL 33811-3400 | 2012-05-21 |
| 1205126190 | Megan Marie Wagner | Physician Assistant | 4700 Research Way, Lakeland, FL 33805-8531 | 2011-04-12 |
| 1225289168 | Brandon Carter Mcduffie | Physician Assistant | 202 Lake Miriam Dr Ste 1, Lakeland, FL 33813-2180 | 2008-10-09 |
| Find all providers in LAKELAND | ||||
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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.