YOUR ENT, PLLC (NPI# 1023550100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023550100 |
| Entity Type | Organization |
| Organization Name | YOUR ENT, PLLC |
| Practice Address |
2028 W Poplar Ave Suite 112 Collierville TN 38017-0618 |
| Practice Telephone | 9018612526 |
| Practice Fax Number | 9018612527 |
| Mailing Telephone | 9018612526 |
| Mailing Fax Number | 9018612527 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | MRS. KATHRYN LENDERMAN KING (OWNER) |
| Authorized Official Telephone | 9018612526 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
15081 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | CIGNA | 5073174 | 01 |
| TN | BLUE CROSS/BLUE SHIELD | 4270955 | 01 |
| TN | 1519558 | 05 | |
| MO | 1740591437 | 05 | |
| TN | UNITED HEALTH CARE | 3196332 | 01 |
| TN | MEDICARE RAILROAD | P00873707 | 01 |
| MS | 01434865 | 05 | |
| AR | 183493758 | 05 |
| Street Address |
2028 W POPLAR AVE SUITE 112 |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017-0618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013901362 | Bharathi S Bellur | Pediatrics | 2028 W Poplar Ave, Suite 112, Collierville, TN 38017-0618 | 2005-09-01 |
| 1548711088 | Linda Gibbs | Physical Therapist | 2028 W Poplar Ave, #113, Collierville, TN 38017-0618 | 2016-10-19 |
| 1649729278 | April Stegall | Audiologist-Hearing Aid Fitter | 2028 W Poplar Ave, Suite 108, Collierville, TN 38017-0618 | 2016-09-23 |
| 1902257132 | Chad Allen Jones | Nurse Practitioner | 2028 W Poplar Ave, Suite 115, Collierville, TN 38017-0618 | 2016-06-29 |
| 1093161259 | William Whittington | Physical Therapist | 2028 W Poplar Ave, Suite 113, Collierville, TN 38017 | 2016-05-06 |
| 1306200738 | Jessica Robbins | Nurse Practitioner | 2028 W Poplar Ave, Suite 112, Collierville, TN 38017-0618 | 2016-04-12 |
| 1891069563 | Collierville Family Health Pllc | Clinic/Center | 2028 W Poplar Ave, Suite 115, Collierville, TN 38017-0618 | 2012-02-28 |
| 1740591437 | Kathryn L King | Nurse Practitioner | 2028 W Poplar Ave, Ste 112, Collierville, TN 38017-0618 | 2010-06-28 |
| 1326229345 | Collierville Pediatrics, LLC | Pediatrics | 2028 W Poplar Ave, Suite 112, Collierville, TN 38017-0618 | 2007-11-19 |
| 1306991781 | Physiotherapy Associates Inc | Clinic/Center | 2028 W Poplar Ave, Ste 113, Collierville, TN 38017-0618 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152011 | Better Life Medical PC | Clinic/Center | 2103 Forest Dr Ste 6, Gray, TN 37615-8422 | 2020-04-03 |
| 1194362889 | Christal Joy Gammage | Clinic/Center | 435 S Front St Apt 101, Memphis, TN 38103-6403 | 2019-12-02 |
| 1609388438 | East Tennessee Children's Hospital Association, Inc. | Clinic/Center | 1060 Peerless Xing Nw Ste 100, Cleveland, TN 37312-3785 | 2017-11-02 |
| 1376095596 | Dr. Andrea's Medical & Weight Loss Clinic, Pllc | Clinic/Center | 8317 Cordova Rd, Suite 201, Cordova, TN 38016-2088 | 2016-11-04 |
| 1316304629 | Deep River Wellness Center | Clinic/Center | 314 Knox Rd, Knoxville, TN 37918-2316 | 2016-01-19 |
| 1417342973 | Sleep Disorders of Tennessee | Clinic/Center | 254 Ren Mar Dr Ste 200, Pleasant View, TN 37146-3723 | 2015-04-01 |
| 1891069555 | Hrc Medical Centers Inc | Clinic/Center | 301 14th Ave N, Nashville, TN 37203-3416 | 2012-02-28 |
| 1801177449 | Mcminn Ortopaedic Clinic, PC | Clinic/Center | 719 Cook Dr Ste 110, Athens, TN 37303-3495 | 2011-09-08 |
| 1104105873 | Swan Urogynecology, PC | Clinic/Center | 329 21st Avenue North, Suite 1, Nashville, TN 37203-1857 | 2011-08-11 |
| 1023304938 | William J Deaton | Clinic/Center | 1462 Wolf Park Rd, Germantown, TN 38138-2354 | 2011-06-20 |
| Find all providers with the same taxonomy | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
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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.