BEVERLY HANCOCK (NPI# 1386957330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386957330 |
| Entity Type | Individual |
| Full Name | BEVERLY HANCOCK |
| Credential | APN |
| Practice Address |
210 Simmons St Maryville TN 37801-4750 |
| Mailing Address |
6800 Baum Dr Knoxville TN 37919-7315 |
| Practice Telephone | 8659809528 |
| Practice Fax Number | 8653747129 |
| Mailing Telephone | 8653747123 |
| Mailing Fax Number | 8653747129 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
14939 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
210 SIMMONS ST |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316945504 | Kevin Scott Corum | Social Worker | 210 Simmons St, Maryville, TN 37801-4750 | 2005-07-12 |
| 1619500592 | Tyann Elizabeth Herman | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2020-02-19 |
| 1336615699 | Mandee Lynn Carroll | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2018-10-15 |
| 1568943199 | Justinas Joksas | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2018-08-22 |
| 1447751854 | Holly Williams | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2018-02-22 |
| 1023548971 | James Robert Daniel | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2017-06-14 |
| 1063881514 | Gladys Farmer | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2015-09-15 |
| 1558759910 | Hollie Wilder | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2015-01-07 |
| 1386085116 | Marcey Ramos | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2013-07-09 |
| 1700227535 | Tracy Kizer | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2013-07-09 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 37801 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568086288 | William George Blaker | Nurse Practitioner | 1551 Cavalier Dr, Maryville, TN 37803-9206 | 2020-05-29 |
| 1952804791 | Mountain View Mental Health, LLC | Nurse Practitioner | 4233 Old Niles Ferry Rd, Maryville, TN 37801-0643 | 2018-03-16 |
| 1134622418 | Kelli Morrison | Nurse Practitioner | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2018-03-13 |
| 1487157095 | Mary Salerno | Nurse Practitioner | 1620 E Lamar Alexander Pkwy, Maryville, TN 37804-6205 | 2018-03-10 |
| 1770849127 | Linda Fullington Cabage | Nurse Practitioner | 659 Morganton Square Dr, Maryville, TN 37801-4763 | 2012-04-10 |
| 1245559962 | Sheila Gail White | Nurse Practitioner | 108 Jess Cir, Maryville, TN 37801-0692 | 2010-05-20 |
| 1619119740 | Knoxville Apns LLC | Nurse Practitioner | 108 Jess Cir, Maryville, TN 37801-0692 | 2009-04-06 |
| 1912975186 | Benjamin R Kadas | Nurse Practitioner | 627 Smithview Dr, Maryville, TN 37803-6100 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972966 | Rebecca Singleton | Nurse Practitioner | 2601 N John B Dennis Hwy Apt 2318, Kingsport, TN 37660-0835 | 2020-11-03 |
| 1205434503 | Sonya Lavet Butler | Nurse Practitioner | 3413 Axelwood Dr, Murfreesboro, TN 37128-3984 | 2020-10-09 |
| 1417554361 | John Pearson Redmond | Nurse Practitioner | 1710 Ghost Creek Dr, Collierville, TN 38017-3425 | 2020-10-05 |
| 1861099061 | Justin Mccord | Nurse Practitioner | 454 Red Hill Center Rd, Lawrenceburg, TN 38464-6842 | 2020-10-01 |
| 1265049977 | Toya Owens | Nurse Practitioner | 2565 Mackinnon Dr, Memphis, TN 38119-7903 | 2020-09-26 |
| 1043827041 | Zamaria Davion Louise Gains | Nurse Practitioner | 7405 Shallowford Rd Ste 230, Chattanooga, TN 37421-7632 | 2020-09-24 |
| 1376158998 | Mary L Dean Turner | Nurse Practitioner | 6727 Stonetrace Dr, Bartlett, TN 38135-3054 | 2020-09-10 |
| 1205447794 | Sana Pathan | Nurse Practitioner | 829 S Sherbrooke Cir, Mount Carmel, TN 37645-4019 | 2020-08-10 |
| 1093325557 | Highland Behavioral Healthcare | Nurse Practitioner | 29 Taylor Ave Ste 204, Crossville, TN 38555-4537 | 2020-08-08 |
| 1225648009 | Angela R Davenport | Nurse Practitioner | 7110 Crossroads Blvd, Brentwood, TN 37027-2826 | 2020-08-05 |
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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.