MRS. LAURA ANN ETSON (NPI# 1083199772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083199772 |
| Entity Type | Individual |
| Full Name | MRS. LAURA ANN ETSON |
| Credential | NP-C |
| Practice Address |
776 Weatherly Dr Ste B Clarksville TN 37043-8941 |
| Mailing Address |
863 Isaac Dr Clarksville TN 37040-5691 |
| Practice Telephone | 9319194330 |
| Mailing Telephone | 9313029412 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 24580 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q045600 | 05 |
| Street Address |
776 WEATHERLY DR STE B |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-8941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194048413 | Sherry D. Miller | Nurse Practitioner | 776 Weatherly Dr Ste B, Clarksville, TN 37043-8941 | 2010-03-02 |
| 1326505330 | Jennifer Abelson | Nurse Practitioner | 776 Weatherly Dr Ste B, Clarksville, TN 37043-8941 | 2019-02-26 |
| 1427566280 | Brandy R Robertson | Nurse Practitioner | 776 Weatherly Dr Ste B, Clarksville, TN 37043-8941 | 2018-01-15 |
| 1619423555 | Lateia Williams | Nurse Practitioner | 776 Weatherly Dr Ste B, Clarksville, TN 37043-8941 | 2016-08-31 |
| 1376099259 | Lacey B. Austin | Nurse Practitioner | 776 Weatherly Dr Ste B, Clarksville, TN 37043-8941 | 2016-08-30 |
| 1003248733 | Jennifer Blaine Osborne | Nurse Practitioner | 776 Weatherly Dr Ste B, Clarksville, TN 37043-8941 | 2013-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| 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 |
|---|---|---|---|---|
| 1265078224 | Mh Health Care Services, PC | Nurse Practitioner | 4583 Guthrie Hwy, Clarksville, TN 37040-5422 | 2019-11-25 |
| 1255819926 | Amanda Lynn Blassl | Nurse Practitioner | 2485 Tiny Town Rd, Clarksville, TN 37042-7219 | 2018-08-03 |
| 1831693399 | Jamie Charlene Smock | Nurse Practitioner | 2945 Lily Way, Clarksville, TN 37043-5959 | 2018-03-20 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1568997344 | Louisa Jones | Nurse Practitioner | 751 Chesapeake Ln Ste 101, Clarksville, TN 37040-5263 | 2017-04-28 |
| 1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
| 1194048413 | Sherry D. Miller | Nurse Practitioner | 776 Weatherly Dr Ste B, Clarksville, TN 37043-8941 | 2010-03-02 |
| 1932394087 | Amy Bedan Poff | Nurse Practitioner | 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 | 2007-09-12 |
| 1093880205 | Elizabeth Mcgraw | Nurse Practitioner | 621 Gracey Ave, Clarksville, TN 37040-4012 | 2006-11-22 |
| 1780631945 | Lori A Middleton | Nurse Practitioner | 1820 Haynes St, Clarksville, TN 37043-4547 | 2006-05-31 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
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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.