DEONDRA EDWARDS (NPI# 1972157410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972157410 |
Entity Type | Individual |
Full Name | DEONDRA EDWARDS |
Credential | NP |
Practice Address |
1618 Highway 51, Suites A&b Covington TN 38019 |
Mailing Address |
3132 Shadow Green Lane Lakeland TN 38002 |
Practice Telephone | 9013139274 |
Practice Fax Number | 9013139275 |
Mailing Telephone | 7316124223 |
Enumeration Date | 2019-08-01 |
Last Update Date | 2019-08-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26276 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1618 HIGHWAY 51, SUITES A&B |
City | COVINGTON |
State | TN |
Zip Code | 38019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255957361 | Pcs Midsouth Transport LLC | Non-emergency Medical Transport (VAN) | 1723 Highway 51 S Ste E, Covington, TN 38019 | 2020-06-24 |
1609395938 | Lauren Hill | Physician Assistant | 1618 Us 51, Covington, TN 38019 | 2017-09-19 |
1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
1245586874 | Anne Marie Griffin | Nurse Practitioner | 1997 Highway 51 South, Professional Care Services of West Tennessee, Covington, TN 38019 | 2012-08-01 |
1720353782 | Katie Ann Daggett | Physician Assistant | 1618 Us 51 South, Suite A, Covington, TN 38019 | 2012-03-09 |
1245491547 | Amber Richa Hobbs-buchner | Dentist | 720 W. Sherrod Ave, Covington, TN 38019 | 2008-06-19 |
1598970758 | Roger Ganier Jr. | Dentist | 635 Hwy 51 S., Covington, TN 38019 | 2007-05-11 |
1679607923 | West Tennessee Eye | Optometrist | 1999 Hwy 51 South, Suite B, Covington, TN 38019 | 2007-03-16 |
1518017771 | State of Tennessee | Public Health or Welfare | 4700 Mueller Brass Road, Covington, TN 38019 | 2007-01-11 |
1700986601 | Wal-mart Stores East, Lp | Technician/Technologist | 2201 Lanny Bridges Ave., Covington, TN 38019 | 2006-09-22 |
Find all providers in zip 38019 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366040677 | Meredith Katelyn Kanet | Nurse Practitioner | 704 N High St, Covington, OH 45318-1420 | 2020-10-09 |
1144834284 | Yvona Butts | Nurse Practitioner | 2963 Fairview Rd, Covington, GA 30016-1125 | 2020-09-05 |
1417561002 | Tabria Colston | Nurse Practitioner | 9190 Gallitin Dr Sw, Covington, GA 30014-3034 | 2020-09-01 |
1336758622 | Amanda C Rembert | Nurse Practitioner | 2131 Stallings St Nw Unit 585, Covington, GA 30015-2420 | 2020-07-23 |
1063020428 | Melanie Marie Cox | Nurse Practitioner | 3792 Kraddle Creek Dr, Covington, GA 30014-7700 | 2020-07-21 |
1902437270 | Tina Duncan | Nurse Practitioner | 19405 Helenbirg Rd, Covington, LA 70433-5197 | 2020-01-27 |
1942861018 | Trina C Guzan | Nurse Practitioner | 13130 Highway 1085 Ste 100, Covington, LA 70433-6835 | 2019-06-27 |
1255894523 | Stephanie Salathe Knapps | Nurse Practitioner | 19262 Township Rd, Covington, LA 70435-9243 | 2019-04-12 |
1548721707 | Kimberly Amedee | Nurse Practitioner | 310 Homestead Way, Covington, GA 30014-8299 | 2019-03-28 |
1790243343 | Susana Caro | Nurse Practitioner | 26634 188th Ave Se, Covington, WA 98042-8445 | 2019-03-03 |
Find all providers in COVINGTON |
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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.