HOLLY L ROBERTSON ROSE (NPI# 1952482549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952482549 |
Entity Type | Individual |
Full Name | HOLLY L ROBERTSON ROSE |
Credential | APN |
Practice Address |
665 S Jefferson Ave Cookeville TN 38501-4011 |
Mailing Address |
118 N Church St Murfreesboro TN 37130-3636 |
Practice Telephone | 9315280051 |
Practice Fax Number | 9315280021 |
Mailing Telephone | 6152782241 |
Mailing Fax Number | 6159049182 |
Enumeration Date | 2006-10-18 |
Last Update Date | 2017-03-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
11812 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
665 S JEFFERSON AVE |
City | COOKEVILLE |
State | TN |
Zip Code | 38501-4011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770985855 | Rickman Powers | Nurse Practitioner | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2014-09-21 |
1912273608 | Antonio Deon Taylor | Counselor | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2012-03-27 |
1013241207 | Shannon Kaye Beaty | Registered Nurse | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2009-09-22 |
1730351131 | Tanya Barrett | Counselor | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2008-03-26 |
1396934048 | Mark Pafford | Counselor | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2007-10-18 |
1578754107 | Eric Carlile | Case Manager/Care Coordinator | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2007-08-08 |
1053511311 | Heather Renee Petty | Case Manager/Care Coordinator | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2007-07-24 |
1316147689 | Sheree Fox | Case Manager/Care Coordinator | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2007-07-24 |
1386846236 | Elizabeth Underwood | Case Manager/Care Coordinator | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2007-06-04 |
1659583474 | Carla Love | Case Manager/Care Coordinator | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2007-05-04 |
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 | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679190532 | Jaime Phillips | Nurse Practitioner | 1225 Skyline Dr, Cookeville, TN 38506-4336 | 2020-06-26 |
1295232916 | Vickie Dian Brown | Nurse Practitioner | 655 S Jefferson Ave, Cookeville, TN 38501-4011 | 2018-04-09 |
1972579878 | Nile Remsing | Nurse Practitioner | 1200 S Willow Ave, Cookeville, TN 38506-4157 | 2006-02-28 |
1285613059 | Julie Ann Worley | Nurse Practitioner | 2370 Quinland Lake Rd, Cookeville, TN 38506-7519 | 2006-01-11 |
1538782750 | Amber Gipson Matheney | Nurse Practitioner | 278 Dry Valley Rd, Cookeville, TN 38506-5461 | 2020-05-21 |
1508499443 | Josh Brindley | Nurse Practitioner | 1 Medical Center Blvd, 5 West, Cookeville, TN 38501-4294 | 2020-02-19 |
1053961474 | Amy Lynne Rice | Nurse Practitioner | 1200 S Willow Ave, Cookeville, TN 38506-4157 | 2019-09-17 |
1821643495 | Shawn Escar Arkon | Nurse Practitioner | 1200 S Willow Ave, Cookeville, TN 38506-4157 | 2019-08-09 |
1649793555 | Matthew Neal Langford | Nurse Practitioner | 1200 S Willow Ave, Cookeville, TN 38506-4157 | 2017-07-23 |
1770985855 | Rickman Powers | Nurse Practitioner | 665 S Jefferson Ave, Cookeville, TN 38501-4011 | 2014-09-21 |
Find all providers in COOKEVILLE |
City | COOKEVILLE |
Zip Code | 38501 |
Please comment or provide details below to improve the information on HOLLY L ROBERTSON ROSE.
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.