MR. TY A. BULLINGTON (NPI# 1407015951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407015951 |
| Entity Type | Individual |
| Full Name | MR. TY A. BULLINGTON |
| Credential | NP |
| Practice Address |
4519 Hixson Pike Hixson TN 37343-5035 |
| Mailing Address |
910 Blackford Street Attn: Tct Aftercare Center Chattanooga TN 37403 |
| Practice Telephone | 4238774591 |
| Practice Fax Number | 4238774225 |
| Mailing Telephone | 4237782846 |
| Mailing Fax Number | 4237782877 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APN13114 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4519 HIXSON PIKE |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-5035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467437038 | Roger Coffman | Pediatrics | 4519 Hixson Pike, Hixson, TN 37343-5035 | 2005-12-07 |
| 1780088641 | Lindsay Mallen Marx | Nurse Practitioner | 4519 Hixson Pike, Hixson, TN 37343 | 2014-10-21 |
| 1194915942 | Kathryn Dodd Shumate | Pediatrics | 4519 Hixson Pike, Hixson, TN 37343-5035 | 2007-07-27 |
| 1528084548 | Matthew W Good | Emergency Medicine | 4519 Hixson Pike, Hixson, TN 37343-5035 | 2006-07-14 |
| 1760468292 | Steven L May | Pediatrics | 4519 Hixson Pike, Hixson, TN 37343-5035 | 2005-12-16 |
| 1568448082 | Frank R Eldridge | Pediatrics | 4519 Hixson Pike, Hixson, TN 37343-5035 | 2005-12-16 |
| 1124003942 | David Neall | Pediatrics | 4519 Hixson Pike, Hixson, TN 37343-5035 | 2005-12-14 |
| 1578548392 | Robert M Wood | Pediatrics | 4519 Hixson Pike, Hixson, TN 37343-5035 | 2005-12-14 |
| 1669457479 | Marian G May | Pediatrics | 4519 Hixson Pike, Hixson, TN 37343-5035 | 2005-12-14 |
| 1255316071 | Becky S Mcmahan | Pediatrics | 4519 Hixson Pike, Hixson, TN 37343-5035 | 2005-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235648783 | Brittany Craft Williams | Nurse Practitioner | 1039 Executive Dr Ste 101, Hixson, TN 37343-7900 | 2017-09-28 |
| 1922523703 | Sarah Morgan Lee Bowman | Nurse Practitioner | 1039 Executive Dr Ste 101, Hixson, TN 37343-7900 | 2017-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416330 | Laura Jean Schmid | Nurse Practitioner | 2200 Childrens Way Ste 3103, Nashville, TN 37232-0034 | 2020-10-27 |
| 1801495338 | Heidi Bevans | Nurse Practitioner | 1440 Cedar Ln, Tullahoma, TN 37388-2485 | 2020-10-26 |
| 1629683453 | Monique Kyles | Nurse Practitioner | 148 Marrakesh Cir, Memphis, TN 38103-5830 | 2020-09-09 |
| 1164034013 | Donte Leonard | Nurse Practitioner | 952 Dolly Parton Pkwy, Sevierville, TN 37862-3707 | 2020-08-21 |
| 1114545050 | Regina Jill Brown | Nurse Practitioner | 1441 Guthrie Dr Nw, Cleveland, TN 37311-3642 | 2020-07-07 |
| 1295350361 | Amber Rose King | Nurse Practitioner | 439 N Graham St, Memphis, TN 38122-3831 | 2020-06-14 |
| 1346869302 | Ashley O'brien | Nurse Practitioner | 1044 Oak Drive, White Bluff, TN 37187-3718 | 2020-04-10 |
| 1487298634 | Madison Hatfield | Nurse Practitioner | 2200 Childrens Way Fl 8, Nashville, TN 37232-0005 | 2019-10-31 |
| 1184267270 | Mary Elizabeth Coletti | Nurse Practitioner | 1029 W Main St # 3301, Lebanon, TN 37087-3351 | 2019-10-22 |
| 1508408956 | Stephanie Nidiffer | Nurse Practitioner | 3328 Jenkins Rd Ste 200, Chattanooga, TN 37421-1298 | 2019-10-16 |
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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.