KRISTI Z TRUDO (NPI# 1235159518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235159518 |
Entity Type | Individual |
Full Name | KRISTI Z TRUDO |
Other Name | KRISTI Z PHIPPS |
Credential | NP |
Practice Address |
2001 Laurel Avenue Suite 206 Knoxville TN 37916-1865 |
Mailing Address |
2240 Sutherland Ave Ste 104 Knoxville TN 37919-2333 |
Practice Telephone | 8655243131 |
Practice Fax Number | 8652126323 |
Mailing Telephone | 8659090090 |
Mailing Fax Number | 8659099883 |
Enumeration Date | 2006-07-20 |
Last Update Date | 2017-12-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN0000115693 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BCBS | 4108257 | 01 |
TN | 3640533 | 05 | |
TN | JOHN DEERE | TN0104 | 01 |
Street Address |
2001 LAUREL AVENUE SUITE 206 |
City | KNOXVILLE |
State | TN |
Zip Code | 37916-1865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
Find all providers in zip 37916 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013443886 | Debra Ann Moroney | Nurse Practitioner | 1926 Alcoa Hwy Ste 301, Knoxville, TN 37920-1545 | 2017-05-11 |
1689969826 | Barbara Mary Godfrey | Nurse Practitioner | 8610 Belle Mina Way, Knoxville, TN 37923 | 2011-06-16 |
1346565009 | Mary Ann Hammonds | Nurse Practitioner | 220 Fort Sanders West Blvd Ste 200, Knoxville, TN 37922-3471 | 2010-04-06 |
1285883090 | Wendy Joy Franklin | Nurse Practitioner | 1924 Alcoa Hwy., Knoxville, TN 37920 | 2008-09-17 |
1649433806 | Nancy Gumberts Killgore | Nurse Practitioner | 9430 Parkwest Boulevard, Suite 240, Knoxville, TN 37923-4204 | 2008-07-08 |
1588853873 | Deborah A Combs | Nurse Practitioner | 1405 Loraine St, Knoxville, TN 37921-6643 | 2007-10-23 |
1063575868 | Lori Ann Brummerstedt | Nurse Practitioner | 5216 N Broadway St, Knoxville, TN 37918-2344 | 2006-12-19 |
1942219282 | Thomas Louis Hutzenbiler | Nurse Practitioner | 6417 Granite Hill Lane, Knoxville, TN 37923-8009 | 2006-08-05 |
1225081342 | Kathleen P Neal | Nurse Practitioner | 10805 Harding Drive, Hallmark Health Services, Knoxville, TN 37932 | 2006-05-18 |
1356322341 | Tina Marie Paul | Nurse Practitioner | 4711 Centerline Dr Ste 100, Knoxville, TN 37917-1405 | 2005-11-08 |
Find all providers in KNOXVILLE |
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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.