SUSAN PATRICIA DIERKES (NPI# 1972708402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972708402 |
| Entity Type | Individual |
| Full Name | SUSAN PATRICIA DIERKES |
| Credential | PA-C |
| Practice Address |
811 Morrow St Suite 208 Dresden TN 38225-1846 |
| Practice Telephone | 7313643353 |
| Practice Fax Number | 7313643373 |
| Mailing Telephone | 7313643353 |
| Mailing Fax Number | 7313643373 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2008-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1493 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 36651031 | 05 | |
| TN | BCBS | 4180537 | 01 |
| TN | TLC | 43637 | 01 |
| Street Address |
811 MORROW ST SUITE 208 |
| City | DRESDEN |
| State | TN |
| Zip Code | 38225-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033555248 | Advanced Rehab and Medical, PC | Physical Medicine & Rehabilitation | 811 Morrow St, Suite 208, Dresden, TN 38225-1846 | 2013-05-14 |
| 1710284351 | Alphamed, Inc | Durable Medical Equipment & Medical Supplies | 811 Morrow St, Suite 203, Dresden, TN 38225-1846 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164572327 | State of Tennessee | Public Health or Welfare | 9852 Hwy 22, Dresden, TN 38225 | 2007-01-11 |
| 1174626899 | Tennessee Cvs Pharmacy LLC | Pharmacy | 6616 Greenfield Hwy 54, Dresden, TN 38225 | 2006-09-07 |
| 1629284294 | Freds Stores of Tennessee Inc | Pharmacy | 8487 Highway 22, Dresden, TN 38225 | 2007-05-14 |
| 1790075281 | Mckenzie Medical Center | Pharmacy | 136 S Wilson St # B, Dresden, TN 38225-1133 | 2011-04-18 |
| 1720075633 | Elizabeth A Riddle | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2005-10-05 |
| 1134689920 | Mary Rebecca Wall | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2019-03-20 |
| 1326430620 | Erin Nicole Legens | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2015-02-23 |
| 1497178693 | Ccc Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 136 S Wilson St, Dresden, TN 38225-1133 | 2014-01-24 |
| 1497069603 | Farrah Rae Vernon | Family Medicine | 136 S Wilson St, Dresden, TN 38225-1133 | 2010-07-29 |
| 1881681666 | Mark A Cooper | Internal Medicine | 136 S Wilson St, Dresden, TN 38225-1133 | 2005-10-05 |
| Find all providers in zip 38225 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737354 | Adrienne Smith | Physician Assistant | 5200 Park Ave Ste 100, Memphis, TN 38119-3505 | 2020-10-12 |
| 1417555459 | Kaitlyn Jones | Physician Assistant | 1229 Reserve Blvd Ste 200, Spring Hill, TN 37174-3274 | 2020-10-12 |
| 1861099491 | Caraline Berlynn Mcdowell | Physician Assistant | 284 Clearlake Dr W, Nashville, TN 37217-4547 | 2020-10-06 |
| 1508463365 | Logan Curran Martin | Physician Assistant | 5431 Edmondson Pike # 10, Nashville, TN 37211-5806 | 2020-10-05 |
| 1487261798 | Charity Grace Coppedge | Physician Assistant | 105 Twin Oaks Dr, Nashville, TN 37211-2765 | 2020-09-30 |
| 1316554884 | Brianna Bingham | Physician Assistant | 619 Blizzard Mines Rd, Harriman, TN 37748-3852 | 2020-09-28 |
| 1871100586 | Emily Philpott | Physician Assistant | 905 20th Ave S Apt 1306, Nashville, TN 37203-2672 | 2020-09-27 |
| 1063028876 | Emma Landers | Physician Assistant | 1534 Douglas Ave, Nashville, TN 37206-2309 | 2020-09-17 |
| 1730795527 | Melanie Rees | Physician Assistant | 111 33rd Ave S Apt 102, Nashville, TN 37212-3241 | 2020-09-17 |
| 1265048268 | Olivia Meers | Physician Assistant | 1080 Cedarview Ln, Franklin, TN 37067-4068 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
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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.