CAITLYN MICHELLE CHAIRES


Address: 525 W Broadway Ave, Maryville, TN 37801-4782
Phone: 8652684265

CAITLYN MICHELLE CHAIRES (NPI# 1316500812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316500812
Entity Type Individual
Full Name CAITLYN MICHELLE CHAIRES
Other Name CAITLYN MICHELLE ROOKSTOOL CHAIRES
Credential FNP-BC
Practice Address 525 W Broadway Ave
Maryville
TN 37801-4782
Mailing Address 30 Burton Hills Blvd Ste 175
Nashville
TN 37215-6403
Practice Telephone 8652684265
Practice Fax Number 8652684266
Mailing Telephone 6159882014
Mailing Fax Number 6152081303
Enumeration Date 2019-04-19
Last Update Date 2019-06-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APN0000025624 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ANCC 2018081259 01

Office Location

Street Address 525 W BROADWAY AVE
City MARYVILLE
State TN
Zip Code 37801-4782

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NPI Name Taxonomy Address Enumeration
1912536582 Andrea Waldrop Pharmacist 103 Foothills Mall Drive, Maryville, TN 37801 2020-04-06
1134664147 Complete Vision Care Pllc Optometrist 2410 Us Hwy 411 S, Maryville, TN 37801 2016-12-29
1144634114 James Muscari Dentist 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 2014-06-17
1245465483 Respiratory Home Care of Bristol, LLC Durable Medical Equipment & Medical Supplies 637 Morganton Square Dr, Maryville, TN 37801 2009-05-18
1063682383 William R Pedersen Optometrist 730 West Lamar Alexander Pkwy, Maryville, TN 37801 2008-03-03
1124218573 Liberty Assisted Living LLC Assisted Living Facility 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 2007-07-31
1447467493 Amanda G Clement Nurse Practitioner 1427 William Blount Drive, Maryville, TN 37801 2007-05-17
1396873758 David T Cope Audiologist 821 Ross Drive, Maryville, TN 37801 2007-02-28
1649345406 Adult & Family Dentistry, Inc. Dentist 1740 Big Springs Rd, Maryville, TN 37801 2006-11-21
1225109523 Lincare Inc. Durable Medical Equipment & Medical Supplies 330 Southdowne Dr, Maryville, TN 37801 2006-11-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821600693 Tonya Ann Bosaw Nurse Practitioner 6812 State Route 162 Ste 204, Maryville, IL 62062-8562 2020-08-21
1841815701 Samantha Mclean Nurse Practitioner 2005 Kirkland Blvd, Maryville, TN 37803-3600 2020-06-16
1477102713 Tammy Ann Buchanon Nurse Practitioner 2415 Effler Rd, Maryville, TN 37803-6609 2019-09-10
1316461460 Steven Casey Boring Nurse Practitioner 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 2017-07-31
1477902708 Katherine Buckner Nurse Practitioner 708 Devictor Dr, Maryville, TN 37801-8666 2016-06-07
1124484415 Shannon Everett Nurse Practitioner 1716 Old Mount Tabor Rd, Maryville, TN 37801-7866 2016-01-03
1952797383 Amanda Sue Anderson Nurse Practitioner 144 Oak Hill Dr, Maryville, IL 62062-6475 2015-04-13
1992194401 Alyssa R. Loepker Nurse Practitioner 6812 State Route 162 Ste 120, Maryville, IL 62062-8586 2015-01-21
1477956076 Lori B Crisp Nurse Practitioner 339 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 2014-09-27
1114260551 Amanda Michelle Connoyer Nurse Practitioner 2023 Vadalabene Dr Ste 251, Maryville, IL 62062-5637 2013-04-04
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Competitor

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City MARYVILLE
Zip Code 37801

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Dataset Information

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.

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