BETHANY ELAINE CONDRA (NPI# 1376952895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376952895 |
| Entity Type | Individual |
| Full Name | BETHANY ELAINE CONDRA |
| Other Name | BETHANY ELAINE DANIEL |
| Credential | NP |
| Practice Address |
725 Glenwood Dr Ste E500 Chattanooga TN 37404-1138 |
| Practice Telephone | 4234952635 |
| Practice Fax Number | 4234952638 |
| Mailing Telephone | 4234952635 |
| Mailing Fax Number | 4234952638 |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18993 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
725 GLENWOOD DR STE E500 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528360765 | Geraldo Enrique Holguin | Internal Medicine | 725 Glenwood Dr Ste E500, Chattanooga, TN 37404-1138 | 2010-11-20 |
| 1659727378 | Kristen Miranda | Nurse Practitioner | 725 Glenwood Dr Ste E500, Chattanooga, TN 37404-1138 | 2016-05-12 |
| 1902148042 | Jesse Layden Tucker | Internal Medicine | 725 Glenwood Dr Ste E500, Chattanooga, TN 37404 | 2013-03-26 |
| 1255695011 | Sumit M Patel | Internal Medicine | 725 Glenwood Dr Ste E500, Chattanooga, TN 37404 | 2012-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828692 | Michelle Colby | Nurse Practitioner | 1050 Givens Rd, Chattanooga, TN 37421-4370 | 2020-07-20 |
| 1750999553 | Julia Clare Cervantes Aguilar | Nurse Practitioner | 3756 Knollwood Dr, Chattanooga, TN 37415-4203 | 2020-07-17 |
| 1447876743 | Cathleen Marie Cornett | Nurse Practitioner | 979 E 3rd St Ste C-300, Chattanooga, TN 37403-2136 | 2020-06-23 |
| 1487279139 | Roxy Gazaway | Nurse Practitioner | 721 Glenwood Dr Ste W560, Chattanooga, TN 37404-1129 | 2020-06-09 |
| 1801410253 | Stacey Buckner | Nurse Practitioner | 207 Booth Rd, Chattanooga, TN 37411-2702 | 2020-06-02 |
| 1073158630 | Jerry Lynn Reed Jr. | Nurse Practitioner | 7480 Ziegler Rd Ste 150, Chattanooga, TN 37421-4947 | 2019-11-07 |
| 1508411729 | Jerin C Alexander | Nurse Practitioner | 6918 Shallowford Rd Ste 226, Chattanooga, TN 37421-1552 | 2019-08-05 |
| 1295388841 | Ann Mercy Binoy | Nurse Practitioner | 425 Cumberland St # 110, Chattanooga, TN 37404-1909 | 2019-07-23 |
| 1528610466 | Kristina Wagner Daly | Nurse Practitioner | 504 E 17th St, Chattanooga, TN 37408-2107 | 2019-07-11 |
| 1023679909 | Megan Elizabeth Coffey | Nurse Practitioner | 3321 Montview Dr, Chattanooga, TN 37411-3524 | 2019-06-22 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
Please comment or provide details below to improve the information on BETHANY ELAINE CONDRA.
| 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.