MRS. MICHELLE MCCLUSKEY (NPI# 1396756342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396756342 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE MCCLUSKEY |
| Credential | F.N.P. |
| Practice Address |
204 Shaver Dr Talbott TN 37877-8552 |
| Mailing Address |
Po Box 789 Talbott TN 37877-0789 |
| Practice Telephone | 4235817040 |
| Practice Fax Number | 4235819563 |
| Mailing Telephone | 4235817040 |
| Mailing Fax Number | 4235819563 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
12179 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3344091 | 05 |
| Street Address |
204 SHAVER DR |
| City | TALBOTT |
| State | TN |
| Zip Code | 37877-8552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750378915 | Regina Nepomuceno Coleman | Pediatrics | 204 Shaver Dr, Talbott, TN 37877-8552 | 2005-10-04 |
| 1356781124 | Ryan Kenneth Rogers | Registered Nurse | 204 Shaver Dr, Talbott, TN 37877-8552 | 2013-06-26 |
| 1043508906 | Rachel Melissa Dearing | Nurse Practitioner | 204 Shaver Dr, Talbott, TN 37877-8552 | 2011-07-13 |
| 1306853965 | Primary Care Associates, PC | Nurse Practitioner | 204 Shaver Dr, Talbott, TN 37877-8552 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467846253 | Phillips Healthcare Group, PC | Pediatrics | 6890 W.a.j. Hwy., Talbott, TN 37877 | 2015-03-19 |
| 1720499155 | Shallon Andrea Church | Massage Therapist | 1171 East Highway 11-e, Suite 102, Talbott, TN 37877 | 2014-05-20 |
| 1043495112 | Amber Dawn Randolph | Registered Nurse | 7460 Lebanon Church Road, Talbott, TN 37877 | 2008-01-08 |
| 1073608444 | Carolyn Drake | Speech-Language Pathologist | 6057 West Andrew Johnson Highway, Suite 4, Talbott, TN 37877 | 2006-10-03 |
| 1972610475 | Stephen L Clarke | Chiropractor | 6156 West Andrew Johnson Hwy, Talbott, TN 37877 | 2006-08-23 |
| 1790701639 | Ashley Ann Wade | Social Worker | 6350 West Andrew Johnson Highway, Talbott, TN 37877 | 2006-07-14 |
| 1508802638 | Gary Steven Harbin | Registered Nurse | 7460 Lebanon Church Rd, Talbott, TN 37877 | 2006-06-20 |
| 1538147590 | Laurel Elise Henegar | Psychologist | 6350 W Andrew Johnson Highway, Talbott, TN 37877 | 2006-01-09 |
| 1477045854 | Ashley Mayhew Breazeale | Student in an Organized Health Care Education/Training Program | 6350 W Andrew Johnson Hwy, Talbott, TN 37877 | 2018-06-01 |
| 1992002745 | Angie Lee Allman | Psychologist | 6350 W A J Hwy, Talbott, TN 37877 | 2011-02-14 |
| Find all providers in zip 37877 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866397 | Paula Mae Montes | Nurse Practitioner | 495 Phyllis Cir, Talbott, TN 37877-8544 | 2020-09-16 |
| 1770194276 | Rachael Nicole Chastain | Nurse Practitioner | 230 Greenbriar Rd, Talbott, TN 37877-8332 | 2020-08-10 |
| 1407194038 | Esther Marie O'hare | Nurse Practitioner | 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 | 2013-01-16 |
| 1043508906 | Rachel Melissa Dearing | Nurse Practitioner | 204 Shaver Dr, Talbott, TN 37877-8552 | 2011-07-13 |
| 1306853965 | Primary Care Associates, PC | Nurse Practitioner | 204 Shaver Dr, Talbott, TN 37877-8552 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. MICHELLE MCCLUSKEY.
| 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.