CONNIE A REAVES (NPI# 1255476677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255476677 |
| Entity Type | Individual |
| Full Name | CONNIE A REAVES |
| Credential | NP |
| Practice Address |
202 Tucker Ave Ripley TN 38063 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 7316354741 |
| Practice Fax Number | 7316353466 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2018-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 64614 | TN | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | A005747 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 5905 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
202 TUCKER AVE |
| City | RIPLEY |
| State | TN |
| Zip Code | 38063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417941022 | Joe W Hunt | Family Medicine | 202 Tucker Ave, Ripley, TN 38063-1631 | 2005-09-09 |
| 1710204128 | Bradley R Harrell | Nurse Practitioner | 202 Tucker Ave, Ripley, TN 38063 | 2010-04-24 |
| 1013012764 | Ripley Medical Clinic Inc | Internal Medicine | 202 Tucker Ave, Ripley, TN 38063-1631 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609327246 | Ld&h Specialized Care Services | Preferred Provider Organization | 2260 Us-51, Helen R Tucker Adult Dev Center, Ripley, TN 38063 | 2016-10-19 |
| 1477984508 | Mid-south Convenient Care, Pllc | Family Medicine | 521 Hwy 51 North, Ripley, TN 38063 | 2013-11-27 |
| 1285879577 | The Wellness Center of West Tn Inc | Technician | 171 Tucker Street, Ripley, TN 38063 | 2008-12-16 |
| 1023281185 | Aniko Vedette Campbell | Nurse Practitioner | 79 Highway 51 South, Christian Family Medicine, Ripley, TN 38063 | 2008-04-10 |
| 1275750556 | Annabelle Chua | Physical Therapist | 326 Asbury Rd, Ripley, TN 38063 | 2007-04-19 |
| 1073659058 | Thomas Ross Patterson | Dentist | 500 Hwy 51 South, Ripley, TN 38063 | 2007-01-29 |
| 1144370305 | State of Tennessee | Public Health or Welfare | 500 Highway 51 South, Ripley, TN 38063 | 2007-01-11 |
| 1669479036 | Syed A Zaidi | Specialist | 868 Highway 51 South, Suite 101, Ripley, TN 38063 | 2005-06-30 |
| 1558609628 | Citizens of Lake County for Health Care, Inc | Clinic/Center | 317 Cleveland St, Ripley, TN 38063 | 2013-01-24 |
| 1083962633 | James Matthew Harper | Optometrist | 479 S Washington St, Ripley, TN 38063 | 2012-08-29 |
| Find all providers in zip 38063 | ||||
| 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 |
|---|---|---|---|---|
| 1487135778 | Abby Jobe | Nurse Practitioner | 519 City Ave S, Ripley, MS 38663-2517 | 2018-08-24 |
| 1023281185 | Aniko Vedette Campbell | Nurse Practitioner | 79 Highway 51 South, Christian Family Medicine, Ripley, TN 38063 | 2008-04-10 |
| 1316558869 | Southern Family Practice Inc | Nurse Practitioner | 124 N Jefferson St, Ripley, TN 38063-1522 | 2020-08-10 |
| 1760968762 | Danielle Christine Harrison | Nurse Practitioner | 509 Church St S, Ripley, WV 25271-1615 | 2018-07-13 |
| 1295239218 | Hannah Poyner | Nurse Practitioner | 517 City Ave S, Ripley, MS 38663 | 2018-03-23 |
| 1134641392 | Staci D Cummings | Nurse Practitioner | 122 Pinnell St, Ripley, WV 25271-9101 | 2017-07-10 |
| 1871035477 | Amy Delong | Nurse Practitioner | 158 Pinnell St, Ripley, WV 25271-9101 | 2016-11-14 |
| 1184058836 | Lori S Duke | Nurse Practitioner | 1009 City Ave N, Ripley, MS 38663-1414 | 2013-08-29 |
| 1902193675 | Patti Cagle Jones | Nurse Practitioner | 124 N Jefferson St, Ripley, TN 38063-1522 | 2011-07-01 |
| 1043386642 | Family Care Clinic of Ripley | Nurse Practitioner | 1007 N Main St, Ripley, MS 38663-1424 | 2006-11-27 |
| Find all providers in RIPLEY | ||||
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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.