NICOLE H UMSTEAD (NPI# 1366944514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366944514 |
| Entity Type | Individual |
| Full Name | NICOLE H UMSTEAD |
| Credential | APRN |
| Practice Address |
111 Front St Henderson TN 38340-2313 |
| Practice Telephone | 7319892829 |
| Practice Fax Number | 7315200230 |
| Mailing Telephone | 7319892829 |
| Mailing Fax Number | 7315200230 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 23868 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
23868 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q034933 | 05 |
| Street Address |
111 FRONT ST |
| City | HENDERSON |
| State | TN |
| Zip Code | 38340-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376710624 | Kathy Diane Butler | Nurse Practitioner | 111 Front St, Henderson, TN 38340-2313 | 2008-05-14 |
| 1386260792 | Anew Family Medical Pllc | Nurse Practitioner | 111 Front St, Henderson, TN 38340-2313 | 2020-06-22 |
| 1407210685 | Kimberly S Roberts | Nurse Practitioner | 111 Front St, Henderson, TN 38340-2313 | 2016-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407487390 | Cornerstone Pharmacy, LLC | Pharmacy | 1330 Us Hwy 45 N Ste D, Henderson, TN 38340 | 2020-01-29 |
| 1184774358 | State of Tennessee | Public Health or Welfare | 301 Quinco Drive, Henderson, TN 38340 | 2007-01-11 |
| 1952381089 | Ronald Allen Hoffmeyer | Physician Assistant | 1132 Industrial Drive, Henderson Health Center, Henderson, TN 38340 | 2006-01-17 |
| 1487636031 | Ronald E Johnson | Dentist | 136 South Washington Ave, Henderson, TN 38340-0096 | 2005-11-18 |
| 1174835664 | Southwest Human Resource Agency | Local Education Agency (LEA) | 1527 White Avenue, Henderson, TN 38340-0264 | 2010-07-13 |
| 1366637969 | Hardeman County Community Health Center | Clinic/Center | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2007-09-07 |
| 1629380639 | Candice Johnson Jones | Family Medicine | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2010-07-07 |
| 1578510269 | Henderson Residential, LLC | Assisted Living Facility | 558 White Ave, Henderson, TN 38340-1504 | 2006-05-28 |
| 1457591117 | Melaro Behavioral Consultants Inc | Clinic/Center | 225 W Sixth St, Henderson, TN 38340-1515 | 2009-02-20 |
| 1386797314 | David Allen Magee | Dentist | 1520 Cherry Creek Cv, Henderson, TN 38340-1578 | 2007-01-21 |
| Find all providers in zip 38340 | ||||
| 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 |
|---|---|---|---|---|
| 1699376558 | Kody Brett Allard | Nurse Practitioner | 1681 Keepsake Ave, Henderson, NV 89014-7562 | 2020-11-05 |
| 1306495080 | Rodelyn Arceo | Nurse Practitioner | 2405 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-2718 | 2019-09-05 |
| 1972165421 | Deaconess Clinic Inc | Nurse Practitioner | 1305 N Elm St Ste G, Henderson, KY 42420-2783 | 2019-07-05 |
| 1811456486 | Genica Felise Gelson | Nurse Practitioner | 2839 St. Rose Parkway, Ste. 160, Henderson, NV 89052-4849 | 2019-03-13 |
| 1306310354 | Noni Hayman | Nurse Practitioner | 1769 Beechnut Ave, Henderson, NV 89074-0955 | 2019-01-13 |
| 1659840270 | Ronnie Malalay Bordador | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2018-11-14 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1528566460 | Gloria Santiaguel Mandel | Nurse Practitioner | 191 Mescalero Trl, Henderson, NV 89074-1037 | 2018-01-25 |
| 1821500141 | Samantha Leigh Sylvia | Nurse Practitioner | 568 Ruin Creek Rd Ste 6, Henderson, NC 27536-5921 | 2017-10-26 |
| 1144739707 | Dignity Health Medical Group Nevada, LLC | Nurse Practitioner | 1701 N Green Valley Pkwy Ste 10a, Henderson, NV 89074-5991 | 2017-09-27 |
| Find all providers in HENDERSON | ||||
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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.