BEATRICE FATIMA BACHOUR (NPI# 1194171009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194171009 |
| Entity Type | Individual |
| Full Name | BEATRICE FATIMA BACHOUR |
| Credential | PA-C |
| Practice Address |
480 Green Chapel Rd Henning TN 38041-5726 |
| Practice Telephone | 7317385044 |
| Mailing Telephone | 7317385044 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5601007739 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3002 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
480 GREEN CHAPEL RD |
| City | HENNING |
| State | TN |
| Zip Code | 38041-5726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720288368 | Donald R. Willie | Nurse Practitioner | 480 Green Chapel Rd, Henning, TN 38041-5726 | 2007-07-23 |
| 1124544903 | Emily J Jallah | Nurse Practitioner | 480 Green Chapel Rd, Henning, TN 38041-5726 | 2017-08-14 |
| 1043645088 | Donna A. Chisholm | Nurse Practitioner | 480 Green Chapel Rd, Henning, TN 38041-5726 | 2013-09-10 |
| 1770915225 | George Lee Washington | Dentist | 480 Green Chapel Rd, Henning, TN 38041-5726 | 2013-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945677 | Patricia Ann Webster | Technician | 462 Jack Crutcher Rd., Henning, TN 38041 | 2019-11-06 |
| 1205083078 | Heather Crook | Physical Therapy Assistant | 7505 Highway 87 W, Henning, TN 38041-6225 | 2008-08-25 |
| 1497998249 | Martha Williams, Lcsw | Social Worker | 8301 Highway 87 W, Henning, TN 38041-6234 | 2009-04-09 |
| 1073877940 | New Beginnings Personal Support Services | Home Health | 165 E Mcfarlin Ave, Henning, TN 38041-7541 | 2012-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821622 | Byron Howard Herdman | Nurse Practitioner | 20671 State Highway 29, Henning, MN 56551-9521 | 2020-08-16 |
| 1952945677 | Patricia Ann Webster | Technician | 462 Jack Crutcher Rd., Henning, TN 38041 | 2019-11-06 |
| 1871012104 | Patrick Dilly | Student in an Organized Health Care Education/Training Program | 209 Inman St., Henning, MN 56551 | 2017-09-19 |
| 1144674516 | Lisa Marie Cordes | Physical Therapy Assistant | 27395 County Highway 61, Henning, MN 56551-9238 | 2016-04-21 |
| 1245614452 | Gordon Rockswold | Emergency Medicine | 23960 Liberty Trl, Henning, MN 56551-9462 | 2015-07-17 |
| 1760829568 | Dr Stephen P Tonner Ltd | Optometrist | 603 Douglas Ave, Henning, MN 56551-4109 | 2013-06-03 |
| 1528315017 | Susan Kay Devries | Contractor | 604 Douglas Ave, Henning, MN 56551-4108 | 2012-08-14 |
| 1073877940 | New Beginnings Personal Support Services | Home Health | 165 E Mcfarlin Ave, Henning, TN 38041-7541 | 2012-06-26 |
| 1518289958 | Henning Chiropractic Clinic, P.a. | Chiropractor | 801 Inman St., Henning, MN 56551 | 2010-02-26 |
| 1497998249 | Martha Williams, Lcsw | Social Worker | 8301 Highway 87 W, Henning, TN 38041-6234 | 2009-04-09 |
| Find all providers in HENNING | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840972 | Alexis Sierra Foster | Physician Assistant | 953 Prince Ave, Erwin, TN 37650-1445 | 2020-11-01 |
| 1972110831 | Marleen Yosef | Physician Assistant | 6 Whitsett Rd, Nashville, TN 37210-5345 | 2020-09-24 |
| 1538772744 | Kaitlyn Blair Barger | Physician Assistant | 2100 Clinch Ave Ste 120, Knoxville, TN 37916-2288 | 2020-08-26 |
| 1225653967 | Molly Ann Waggoner | Physician Assistant | 9050 Executive Park Dr Ste 100b, Knoxville, TN 37923-4616 | 2020-06-09 |
| 1134749922 | Mckenzie Jacobson | Physician Assistant | 302 Tyson Ave # B, Paris, TN 38242-4576 | 2020-04-21 |
| 1316580913 | Donald Jacob Calella | Physician Assistant | 8146 Propeller Dr, Ooltewah, TN 37363-9561 | 2019-10-26 |
| 1811458565 | Physician Associate Resources, Plc | Physician Assistant | 1559 Highland Park Drive, Lenoir City, TN 37772 | 2019-03-26 |
| 1336617059 | Micaela L Goebel | Physician Assistant | 120 Tanner Pl Bldg H, Clinton, TN 37716-6684 | 2018-11-12 |
| 1700369162 | Lauren Peyton Hunley | Physician Assistant | 6890 W Andrew Johnson Hwy, Talbott, TN 37877-8610 | 2018-09-12 |
| 1275039471 | Jessica Taylor Epting | Physician Assistant | 107 Glen Oak Blvd Ste 200, Hendersonville, TN 37075-3162 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
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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.