Kathryn E Waller (NPI# 1841562907, PAC ID# 4587827407) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1841562907 |
| PAC ID by PECOS | 4587827407 |
| Professional Enrollment ID | I20120511000483 |
| Full Name | Kathryn E Waller |
| Organization Legal Name | HARTON CLINIC COMPANY LLC |
| Address |
1330 Cedar Ln Suite 100 Tullahoma TN 37388-2284 |
| Phone Number | 9313933366 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4688986375 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440144 | TENNOVA HEALTHCARE-HARTON |
| Address | Phone | Organization |
|---|---|---|
| 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388-2284 | 9313933366 | HARTON CLINIC COMPANY LLC |
| 1805 N Jackson St, Suite 100, Tullahoma, TN 37388-2291 | 9314557767 | HARTON CLINIC COMPANY LLC |
| Organization Legal Name | HARTON CLINIC COMPANY LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Crater | Internal Medicine | Harton Clinic Company LLC | 1805 N Jackson St, Suite 100, Tullahoma, TN 37388-2291 |
| Mary Amanda George | Nurse Practitioner | Harton Clinic Company LLC | 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388-2284 |
| Robert H Nichols Jr. | Internal Medicine | Harton Clinic Company LLC | 1805 N Jackson St, Suite 100, Tullahoma, TN 37388-2291 |
| Rimda N Gupta | Internal Medicine | Harton Clinic Company LLC | 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388-2284 |
| Deborah R Sanders | Nurse Practitioner | Harton Clinic Company LLC | 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388-2284 |
| Stephen H Bills | Internal Medicine | Harton Clinic Company LLC | 1805 N Jackson St, Suite 100, Tullahoma, TN 37388-2291 |
| Collin Bills | Orthopedic Surgery | Harton Clinic Company LLC | 1805 N Jackson St, Suite 100, Tullahoma, TN 37388-2291 |
| Katherine Gilliland | Nurse Practitioner | Harton Clinic Company LLC | 1805 N Jackson St, Suite 100, Tullahoma, TN 37388-2291 |
| Street Address |
1330 CEDAR LN SUITE 100 |
| City | TULLAHOMA |
| State | TN |
| Zip | 37388-2284 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Amanda George | Nurse Practitioner | Harton Clinic Company LLC | 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388-2284 |
| Jamie E Gonzales | Physician Assistant | Cardiology and Vascular Associates | 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388-2284 |
| Ashley C Messick | Physician Assistant | Adult and Pediatric Dermatology of Tullahoma PC | 1330 Cedar Ln, Suite 700, Tullahoma, TN 37388-3276 |
| Rebecca Sams Layton | Physician Assistant | Adult and Pediatric Dermatology of Tullahoma PC | 1330 Cedar Ln, Suite 700, Tullahoma, TN 37388-3276 |
| Rimda N Gupta | Internal Medicine | Harton Clinic Company LLC | 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388-2284 |
| Deborah R Sanders | Nurse Practitioner | Harton Clinic Company LLC | 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388-2284 |
| Dinesh K Gupta | Cardiovascular Disease (cardiology) | Cardiology and Vascular Associates | 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388-2284 |
| Ken T Takegami | Dermatology | Adult and Pediatric Dermatology of Tullahoma PC | 1330 Cedar Ln, Suite 700, Tullahoma, TN 37388-3276 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett L Ferrell | Family Medicine | 100 William N Blvd, Tullahoma, TN 37388 | |
| Jonathan M Garrison | Clinical Psychologist | 111133 Tullahoma Hwy, Tullahoma, TN 37388 | |
| Mark Roddy Russell | Diagnostic Radiology | Medical Imaging Consultants, PC | 1801 N Jackson St, Tullahoma, TN 37388-2201 |
| Robert M Bell | Podiatry | Highland Rim Foot and Ankle Clinic, Pllc | 1948 N Jackson St, Tullahoma, TN 37388-2204 |
| Matthew D Murphey | Podiatry | Highland Rim Foot and Ankle Clinic, Pllc | 1948 N Jackson St, Tullahoma, TN 37388-2204 |
| Brady Palmer | Optometry | 2111 N Jackson St, Tullahoma, TN 37388-2207 | |
| Heather C Bohannon Iyama | Nurse Practitioner | 2120 N Jackson St, Tullahoma, TN 37388-2208 | |
| Jennifer A Shetters | Nurse Practitioner | Spectrum Medical Associates | 2106 N Jackson St, Tullahoma, TN 37388-2208 |
| William B Bradford | Radiation Oncology | 2114 N Jackson St, Tullahoma, TN 37388-2208 | |
| Richard C Cole | Family Medicine | Spectrum Medical Associates | 2106 N Jackson St, Tullahoma, TN 37388-2208 |
| Find all physicians in zip 37388 | |||
| City | TULLAHOMA |
| Zip Code | 37388 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TULLAHOMA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kathryn E Waller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.