MRS. ALICIA LEEANN PUGH (NPI# 1033749486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033749486 |
Entity Type | Individual |
Full Name | MRS. ALICIA LEEANN PUGH |
Credential | FNP-BC |
Practice Address |
301 Med Tech Pkwy Ste 240 Johnson City TN 37604-2641 |
Practice Telephone | 4237945520 |
Practice Fax Number | 4232826940 |
Mailing Telephone | 4237945520 |
Mailing Fax Number | 4232826940 |
Enumeration Date | 2020-01-23 |
Last Update Date | 2020-08-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 26448 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q058587 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982227757 | Alicia Y Pugh | Student in an Organized Health Care Education/Training Program | 1853 W Polk St, Chicago, IL 60612-4355 | 2020-05-27 |
1023357019 | Alicia M Pugh | Rehabilitation Counselor | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2013-02-11 |
Street Address |
301 MED TECH PKWY STE 240 |
City | JOHNSON CITY |
State | TN |
Zip Code | 37604-2641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366471641 | Rachel E Keyt | Physician Assistant | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2006-06-30 |
1528673225 | Mary L Trenda | Dietitian, Registered | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-09-10 |
1205446457 | Katelyn Elizabeth Watts | Physician Assistant | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-08-03 |
1427681899 | Jennifer L Reedy | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2020-02-13 |
1083270771 | Kristin A Patchell | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2019-05-17 |
1205390747 | Judith L Day | Registered Nurse | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2019-01-29 |
1568926004 | Mary J Shephard | Dietitian, Registered | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2019-01-29 |
1861967465 | Leah E Merrick | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2018-10-10 |
1346726775 | Alexandria R Hill | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | 2018-07-18 |
1871088625 | Rita M Trivette | Nurse Practitioner | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604 | 2018-06-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
Find all providers in zip 37604 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205468923 | Bobby Ray Nichols IIi | Nurse Practitioner | 2708 S Greenwood Dr, Johnson City, TN 37604-3260 | 2020-02-11 |
1932748829 | Shape Shifters Weight Loss and Joint Center | Nurse Practitioner | 104 University Pkwy Ste 1, Johnson City, TN 37604-7349 | 2019-12-26 |
1205484920 | Violetta Ward | Nurse Practitioner | 1505 Chickees St, Johnson City, TN 37604-7102 | 2019-08-27 |
1972077816 | Betty Christian Kinser | Nurse Practitioner | 3135 Peoples St Ste 303, Johnson City, TN 37604-4130 | 2019-01-14 |
1912489261 | Casey Lynn Davis | Nurse Practitioner | 208 Sunset Dr Ste 340, Johnson City, TN 37604-2521 | 2018-09-04 |
1356831101 | Sheena L Tullock | Nurse Practitioner | 2428 Knob Creek Rd Ste 102, Johnson City, TN 37604-2396 | 2018-05-17 |
1093212516 | Brandy Michelle Story | Nurse Practitioner | 1321 Sunset Dr Ste 11, Johnson City, TN 37604-7902 | 2018-04-11 |
1265959316 | Ashley Gross | Nurse Practitioner | 411 Princeton Rd Ste 101, Johnson City, TN 37601-2049 | 2017-08-29 |
1114454857 | Janet Gar | Nurse Practitioner | 1319 Bell Ridge Rd Apt 703, Johnson City, TN 37601-8021 | 2017-05-12 |
1720527674 | Kristina Bagley | Nurse Practitioner | 101 Medtech Parkway, Suite 200, Johnson City, TN 37604-4007 | 2017-02-13 |
Find all providers in JOHNSON CITY |
City | JOHNSON CITY |
Zip Code | 37604 |
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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.