TAMRA E. ATWOOD (NPI# 1912340449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912340449 |
| Entity Type | Individual |
| Full Name | TAMRA E. ATWOOD |
| Credential | APRN |
| Practice Address |
1417 N Main St Jamestown KY 42629-2411 |
| Mailing Address |
Po Box 1080 Burkesville KY 42717-1080 |
| Practice Telephone | 2703432597 |
| Practice Fax Number | 2703432598 |
| Mailing Telephone | 2708641472 |
| Mailing Fax Number | 2708641693 |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2014-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007062 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100242650 | 05 | |
| KY | KENTUCKY STATE LICENSE NUMBER | 3007062 | 01 |
| Street Address |
1417 N MAIN ST |
| City | JAMESTOWN |
| State | KY |
| Zip Code | 42629-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821096421 | Thomas Dwayne Johnson | General Practice | 1417 N Main St, Jamestown, KY 42629-2411 | 2005-07-08 |
| 1174121412 | Jamestown Valu-rite Pharmacy Inc | Clinical Medical Laboratory | 1417 N Main St, Jamestown, KY 42629-2411 | 2020-10-09 |
| 1063695021 | Rch Jamestown Healthcare Lab | Clinical Medical Laboratory | 1417 N Main St, Jamestown, KY 42629 | 2007-12-13 |
| 1275726812 | Jennifer Ashley Hart | Nurse Practitioner | 1417 N Main St, Jamestown, KY 42629-2411 | 2007-08-27 |
| 1588723241 | Jamestown Healthcare Clinic LLC | Family Medicine | 1417 N Main St, Jamestown, KY 42629 | 2006-12-08 |
| 1396746533 | Stephanie R Jones | Family Medicine | 1417 N Main St, Jamestown, KY 42629-2411 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023400124 | Vickie Robertson | Registered Nurse | 119 Herriford Curve Rd, Jamestown, KY 42629 | 2015-02-26 |
| 1821314733 | Kristin Holly Adams | Pharmacist | 1417 N. Main St., Jamestown, KY 42629 | 2010-04-16 |
| 1588989008 | Jamestown Healthcare Clinic, LLC | Nurse Practitioner | 1417 N. Main St, Jamestown, KY 42629 | 2010-03-29 |
| 1801079660 | Lynda K Heath | Nurse Practitioner | 119 Hereford Curve Rd, Jamestown, KY 42629 | 2007-12-14 |
| 1609064831 | Julene Hopper | Counselor | 119 Hereford Curve Road, Jamestown, KY 42629 | 2007-10-12 |
| 1114059375 | Lisa Ann Helm | Speech-Language Pathologist | 70 Forest Hill Drive, Jamestown, KY 42629 | 2007-03-12 |
| 1235268723 | Jamestown Valu-rite Pharmacy | Durable Medical Equipment & Medical Supplies | 1417 North Main Street, Suite A, Jamestown, KY 42629 | 2007-03-02 |
| 1972642361 | Russell County Board of Education | Local Education Agency (LEA) | 404 S Main Street, Jamestown, KY 42629 | 2007-02-05 |
| 1508942749 | Melanie K Loy Flanagan | Dentist | 43 Fruit of The Loom Drive, Jamestown, KY 42629 | 2006-10-31 |
| 1891881413 | Jeffrey Louis Warner | Pharmacist | 1417 N. Main Street, Suite A, Jamestown, KY 42629 | 2006-10-04 |
| Find all providers in zip 42629 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265997175 | Micah Sellew | Nurse Practitioner | 321 E Central Ave, Jamestown, TN 38556-4103 | 2019-02-05 |
| 1487148466 | Heather Sue Mendell | Nurse Practitioner | 2111 Buffalo Street Ext, Jamestown, NY 14701-9259 | 2018-06-21 |
| 1831620152 | Elizabeth Gattman | Nurse Practitioner | 36 Vinnie St, Jamestown, NY 14701-7327 | 2017-03-27 |
| 1154763134 | Hometown Family Medical Clinic | Nurse Practitioner | 418 B West Central Avenue, Jamestown, TN 38556 | 2013-07-19 |
| 1295072536 | Christopher Davis | Nurse Practitioner | 221 Gaskin Road, Jamestown, KY 42629-0000 | 2013-01-07 |
| 1578812087 | Jamestown Family Care Clinic, LLC | Nurse Practitioner | 1010 Old Highway 127 South, Jamestown, TN 38556-0068 | 2012-08-30 |
| 1215239231 | Connie S. Lee | Nurse Practitioner | 418 B West Central Ave, Jamestown, TN 38556 | 2010-11-23 |
| 1720302185 | Laquita Lynne Sandman | Nurse Practitioner | 100 Duncan Street, Jamestown, TN 38556-0098 | 2010-03-15 |
| 1033350152 | Jocelyn Rebeccah Chermak | Nurse Practitioner | 418b Central Ave W, Jamestown, TN 38556-3031 | 2009-03-19 |
| 1740445519 | Lisa A Walter | Nurse Practitioner | 117 Foote Avenue, Suite 100, Jamestown, NY 14701 | 2008-07-22 |
| Find all providers in JAMESTOWN | ||||
Please comment or provide details below to improve the information on TAMRA E. ATWOOD.
| 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.