CARMEN MCCORMICK (NPI# 1972075646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972075646 |
| Entity Type | Individual |
| Full Name | CARMEN MCCORMICK |
| Credential | NP |
| Practice Address |
510 Hospital Dr Ste 260 Madison TN 37115-5027 |
| Mailing Address |
310 25th Ave N Ste 204 Nashville TN 37203-2492 |
| Practice Telephone | 6158599902 |
| Practice Fax Number | 6158599906 |
| Mailing Telephone | 6153854090 |
| Mailing Fax Number | 6153850138 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2019-07-02 |
| 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 |
APN0000024965 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2021 Church St Ste 8002021, Nashville, TN 372032021 | 6153854090 | 6153850138 |
| Street Address |
510 HOSPITAL DR STE 260 |
| City | MADISON |
| State | TN |
| Zip Code | 37115-5027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235500489 | Shawn Brady | Nurse Practitioner | 510 Hospital Dr Ste 260, Madison, TN 37115-5027 | 2015-10-14 |
| 1174161749 | Heather Greer | Nurse Practitioner | 510 Hospital Dr Ste 260, Madison, TN 37115-5027 | 2019-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
| 1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
| 1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| Find all providers in zip 37115 | ||||
| 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 |
|---|---|---|---|---|
| 1407402795 | Martha Rainey Daniels | Nurse Practitioner | 509 Highleadon Cv, Madison, MS 39110-7465 | 2019-08-13 |
| 1376081570 | Theresa Laggis | Nurse Practitioner | 85 Wall St Fl 1, Madison, CT 06443-3121 | 2017-02-08 |
| 1235500489 | Shawn Brady | Nurse Practitioner | 510 Hospital Dr Ste 260, Madison, TN 37115-5027 | 2015-10-14 |
| 1598045197 | Susan Ann Flannigan | Nurse Practitioner | 16 Tuxis Rd, Madison, CT 06443-3026 | 2011-08-26 |
| 1811181126 | Traci Marando | Nurse Practitioner | 20 Madrina Lane, Madison, CT 06443 | 2007-08-29 |
| 1316926553 | Sue St Clair | Nurse Practitioner | 620 Gallatin Pike S, Suite 214, Madison, TN 37115-4013 | 2006-01-16 |
| 1427039353 | Amy Jean Miller | Nurse Practitioner | 2727 Marshall Ct, Madison, WI 53705-2255 | 2005-11-08 |
| 1710510680 | The Gaetani Center | Nurse Practitioner | 71 Bradley Rd Unit 6, Madison, CT 06443-2662 | 2020-02-19 |
| 1851922322 | Joy Elizabeth Robinson | Nurse Practitioner | 223 Madison St Ste 103, Madison, TN 37115-3660 | 2020-02-03 |
| 1174161749 | Heather Greer | Nurse Practitioner | 510 Hospital Dr Ste 260, Madison, TN 37115-5027 | 2019-12-13 |
| Find all providers in MADISON | ||||
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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.