LATISHA MILBERGER (NPI# 1861938235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861938235 |
| Entity Type | Individual |
| Full Name | LATISHA MILBERGER |
| Practice Address |
851 S Willow Ave Suite 112 Cookeville TN 38501-4221 |
| Practice Telephone | 9318549261 |
| Practice Fax Number | 9318549262 |
| Mailing Telephone | 9318549261 |
| Mailing Fax Number | 9318549262 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 20954 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
20954 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
851 S WILLOW AVE SUITE 112 |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952353062 | Nashville Vamc | Clinic/Center | 851 S Willow Ave, Suite 108, Cookeville, TN 38501-4221 | 2006-05-17 |
| 1144753195 | Lynne Smith | Nurse Practitioner | 851 S Willow Ave, Suite 112, Cookeville, TN 38501-4221 | 2017-04-06 |
| 1952832693 | Teresa Long | Social Worker | 851 S Willow Ave, #108, Cookeville, TN 38501-4221 | 2017-03-24 |
| 1639629603 | Anesthesia Services Associates | Durable Medical Equipment & Medical Supplies | 851 S Willow Ave, Suite 112, Cookeville, TN 38501-4221 | 2016-10-13 |
| 1700238979 | Tom Austin | Physical Therapist | 851 S Willow Ave, Suite 110, Cookeville, TN 38501-4221 | 2016-07-12 |
| 1831500289 | Megan Mcdonald | Physical Therapist | 851 S Willow Ave, Suite 110, Cookeville, TN 38501-4221 | 2014-05-19 |
| 1366725228 | Lauren Perkins | Physical Therapist | 851 S Willow Ave, Suite 110, Cookeville, TN 38501-4221 | 2011-09-27 |
| 1649390907 | John W Fornabaio Jr. | Physical Therapist | 851 S Willow Ave, Suite 110, Cookeville, TN 38501-4221 | 2007-03-30 |
| 1255428702 | Don Ratcliffe | Physical Therapist | 851 S Willow Ave, Ste 110, Cookeville, TN 38501 | 2006-10-06 |
| 1407879299 | Wendy Dean Reed | Nurse Practitioner | 851 S Willow Ave, Suite 108, Cookeville, TN 38501-4221 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1710598685 | Ashley Nicole Huddleston | Nurse Practitioner | 1123 West Gate Rd, Cookeville, TN 38501-9410 | 2020-08-13 |
| 1760953590 | Joseph C Archer | Nurse Practitioner | 315 N Washington Ave Ste 165, Cookeville, TN 38501-2623 | 2018-12-05 |
| 1770940249 | Ken Homolya, Md, LLC | Nurse Practitioner | 406 N Whitney Ave Ste 2, Cookeville, TN 38501-4243 | 2016-01-28 |
| 1043588734 | Benjamin Wade Harmon | Nurse Practitioner | 142 West Fifth Street, Cookeville, TN 38501 | 2011-12-08 |
| 1205149705 | Whitney Lachele Matthews | Nurse Practitioner | 851 S Willow Ave Ste 112, Cookeville, TN 38501-4222 | 2010-07-26 |
| 1659531853 | Tamra Casper | Nurse Practitioner | 851 S Willow Ave Ste 108, Cookeville, TN 38501-4223 | 2008-06-11 |
| 1548226376 | Christopher L Hicks | Nurse Practitioner | 203 N Cedar Ave, Cookeville, TN 38501 | 2006-04-21 |
| 1891777017 | Deborah G Hensley | Nurse Practitioner | 406 N. Whitney Avenue, Suite 5, Cookeville, TN 38501 | 2005-11-15 |
| 1760476881 | Sandra L Bailiff | Nurse Practitioner | 128 N Whitney Ave, Cookeville, TN 38501-2493 | 2005-09-02 |
| 1063404846 | Monica Lynne Means | Nurse Practitioner | 1100 England Dr, Cookeville, TN 38501-0924 | 2005-08-18 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.