TANYA UNDERWOOD (NPI# 1366062572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366062572 |
| Entity Type | Individual |
| Full Name | TANYA UNDERWOOD |
| Credential | RN |
| Practice Address |
4566 S Eason Blvd Tupelo MS 38801-6540 |
| Mailing Address |
1109 Walnut St Amory MS 38821-3715 |
| Practice Telephone | 6623773000 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 865557 | MS | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184815516 | Tanya Laureen Underwood | Marriage & Family Therapist | 1407 Mcculloch Blvd N Unit B, Lake Havasu City, AZ 86403-6513 | 2007-08-09 |
| 1689699050 | Tanya Underwood | Psychiatry & Neurology | 1671 W Grant Rd, Tucson, AZ 85745-1433 | 2006-07-13 |
| Street Address |
4566 S EASON BLVD |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-6540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235102906 | Ginger L Pole | Pediatrics | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2006-02-10 |
| 1588277685 | Bianca Ho | Registered Nurse | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2020-08-28 |
| 1528688819 | Carleigh Ballard | Registered Nurse | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2020-04-16 |
| 1679109458 | Kari Anna Adams | Nurse Practitioner | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2020-03-12 |
| 1467095869 | Jessica Braddock Childs | Registered Nurse | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2019-10-18 |
| 1376107409 | Susan Long Newell | Registered Nurse | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2019-04-24 |
| 1922445188 | North Mississippi Medical Center, Inc. | Obstetrics & Gynecology | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2013-05-29 |
| 1700141074 | Jennifer Caldwell | Nurse Practitioner | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2012-07-11 |
| 1174817340 | Preeti Singh | Pediatrics | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2011-06-06 |
| 1790091304 | North Mississippi Medical Center | Nurse Practitioner | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2010-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457721672 | Lee Owen | Registered Nurse | 2504 Teakwood Ln, Tupelo, MS 38801-0348 | 2015-09-30 |
| 1245831551 | Lisa Roberts | Registered Nurse | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-11-03 |
| 1588277685 | Bianca Ho | Registered Nurse | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2020-08-28 |
| 1609488212 | Chasity Gillis | Registered Nurse | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-17 |
| 1134739055 | Ashley Nabors | Registered Nurse | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-05 |
| 1306463971 | Relda Fugitt | Registered Nurse | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-06-30 |
| 1508486804 | Melinda K Osborn | Registered Nurse | 830 S Gloster St, Tupelo, MS 38801-4996 | 2020-04-16 |
| 1770103053 | Hallie Brianna Carter | Registered Nurse | 961 S Gloster St, Tupelo, MS 38801-6343 | 2020-04-16 |
| 1528688819 | Carleigh Ballard | Registered Nurse | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2020-04-16 |
| 1659990463 | Jennifer Terry | Registered Nurse | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-04-11 |
| Find all providers in TUPELO | ||||
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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.