JAQUELYN MICHELLE FORD (NPI# 1164862124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164862124 |
| Entity Type | Individual |
| Full Name | JAQUELYN MICHELLE FORD |
| Credential | PA-C |
| Practice Address |
1211 Medical Center Dr Nashville TN 37232-0011 |
| Mailing Address |
1161 21st Ave S Aa1204 Medical Center North Nashville TN 37232-0011 |
| Practice Telephone | 6153225000 |
| Mailing Telephone | 6153431465 |
| Mailing Fax Number | 6153437317 |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2368 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1211 MEDICAL CENTER DR |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37232-0011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189507 | Anne Brant Kirk | Nurse Anesthetist, Certified Registered | 1211 Medical Center Dr, Ste 3255, Nashville, TN 37232-0004 | 2005-07-22 |
| 1104433697 | Sydney Clare Madison | Pharmacist | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2020-09-28 |
| 1790390854 | Michelle Aislinn Kidwiler | Registered Nurse | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2020-09-14 |
| 1306450192 | Presley Burns | Pharmacist | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2020-08-31 |
| 1508477704 | Brian Lee Dixon | Nurse Practitioner | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2020-08-11 |
| 1356950950 | Roya Hajostad Nourani | Nurse Practitioner | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2020-07-29 |
| 1457960445 | Alexandra Cook | Nurse Practitioner | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2020-07-27 |
| 1235747098 | Javier Santos Garrido | Audiologist | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2020-07-17 |
| 1215545140 | Nicole Mullen | Nurse Practitioner | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2020-07-16 |
| 1992320170 | Christina I Miller | Nurse Practitioner | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
| 1386209690 | David William John Armstrong | Student in an Organized Health Care Education/Training Program | 1215 21st Ave S 5th Floor, Nashville, TN 37232 | 2019-05-02 |
| 1063075331 | Margaret Elizabeth Galloway | Student in an Organized Health Care Education/Training Program | Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 | 2019-04-22 |
| 1457832420 | Jill Murphree | Dietitian, Registered | 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 | 2018-08-27 |
| 1861980757 | Ryan Chaliff | Student in an Organized Health Care Education/Training Program | Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 | 2018-04-25 |
| 1023505385 | Nelly-ange Kontchou | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 | 2018-04-21 |
| 1396232377 | Katie Lee Ford | Student in an Organized Health Care Education/Training Program | 2200 Children's Way, 8161 Dot, Nashville, TN 37232 | 2018-04-16 |
| 1073015814 | Nicole Sapone Mandrycky | Nurse Practitioner | 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 | 2018-03-07 |
| 1992220982 | Alanna Salituro | Physical Therapist | 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 | 2017-08-10 |
| Find all providers in zip 37232 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841690096 | Arun Alex | Physician Assistant | 7277 Charlotte Pike Unit 211, Nashville, TN 37209-5041 | 2014-08-25 |
| 1144463936 | Marcus S. Burns | Physician Assistant | 2010 Church St Ste 700, Nashville, TN 37203-2072 | 2009-04-09 |
| 1154425627 | Kevin Chalaron Barry | Physician Assistant | 203 Mason Ave Apt 6, Nashville, TN 37203-1119 | 2006-09-12 |
| 1851384473 | Timothy James Hornyak | Physician Assistant | 1310 24th Ave S, Nashville, TN 37212-2637 | 2005-08-30 |
| 1841899879 | Hughston Clinic Southeast,pc | Physician Assistant | 3443 Dickerson Pike Ste 190, Nashville, TN 37207-2533 | 2020-10-21 |
| 1891255022 | Matthew Steven Hawkins | Physician Assistant | 1912 Charlotte Ave, Nashville, TN 37203-2107 | 2019-03-22 |
| 1598231060 | Jessica Uvarov | Physician Assistant | 1912 Charlotte Ave, Nashville, TN 37203-2107 | 2018-10-22 |
| 1154863298 | Andrew Charles Cressman | Physician Assistant | 2400 Patterson St, Suite 300, Nashville, TN 37203-1562 | 2016-11-07 |
| 1174990899 | Ap of Nashville, LLC | Physician Assistant | 2000 Glen Echo Rd Ste 111, Nashville, TN 37215-2857 | 2015-08-28 |
| 1326440199 | Amanda Dreve | Physician Assistant | 3443 Dickerson Pike Ste 190, Nashville, TN 37207-2533 | 2014-09-23 |
| Find all providers in NASHVILLE | ||||
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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.