SAVANNAH BROOKE CARROLL (NPI# 1407492572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407492572 |
| Entity Type | Individual |
| Full Name | SAVANNAH BROOKE CARROLL |
| Practice Address |
1801 N Jackson St Tullahoma TN 37388-8259 |
| Mailing Address |
107 Lake Circle Dr Tullahoma TN 37388-5222 |
| Practice Telephone | 9313937833 |
| Mailing Telephone | 9315819576 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
26655 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0000026655 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1801 N JACKSON ST |
| City | TULLAHOMA |
| State | TN |
| Zip Code | 37388-8259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195351 | Joel Stanley Birdwell | Radiology | 1801 N Jackson St, Tullahoma, TN 37388-2201 | 2005-09-21 |
| 1720689698 | Stephania Rose Colangione | Registered Nurse | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2020-11-05 |
| 1831798719 | Vanderbilt Coffee Hospital LLC | General Acute Care Hospital | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2020-10-21 |
| 1750904041 | Tullahoma Hma LLC | Medicare Defined Swing Bed Unit | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2020-05-21 |
| 1487164703 | Lydia Grace Seibert | Physician Assistant | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2017-10-02 |
| 1891152104 | Cardiology & Vascular Associates | Internal Medicine | 1801 N Jackson St, Suite 100, Tullahoma, TN 37388-2283 | 2016-01-19 |
| 1255742946 | Tullahoma Hospitalist Group, Pllc | Hospitalist | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2014-05-15 |
| 1215357868 | Red Rock Anesthesia, Pllc | Anesthesiology | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2014-04-22 |
| 1144568809 | Samantha L Dawson | Nurse Anesthetist, Certified Registered | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2013-01-30 |
| 1083951834 | James Estes | Nurse Practitioner | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2013-01-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183628 | Angela Michelle Sowers | Dietitian, Registered | 1801 North Jackson St, Tullahoma, TN 37388 | 2017-09-09 |
| 1194242669 | Haley D Stewart | Speech-Language Pathologist | Top Rehab Services, Inc, 2110 N. Jackson Street, Tullahoma, TN 37388 | 2017-08-25 |
| 1295263150 | Kelli Elaine Spencer | Nurse Practitioner | Partners for Healing, 109 West Blackwell Street, Tullahoma, TN 37388 | 2017-05-23 |
| 1932651486 | Adam Snider | Physical Therapy Assistant | 1321 Cedar Lane, Tullahoma, TN 37388 | 2016-11-01 |
| 1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1003298639 | Jeanetta Clark | Counselor | 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 | 2015-06-19 |
| 1285051698 | Ashley Mcmurtry | Physical Therapist | 2110 N. Jackson Street, Tullahoma, TN 37388 | 2014-03-24 |
| 1093150575 | Orthopedic Braces | Case Management | 206 Westside Dr, Tullahoma, TN 37388 | 2013-05-09 |
| 1427397199 | Kristina Danette Carter | Pharmacist | 104 North Jackson Street, Tullahoma, TN 37388 | 2013-01-31 |
| Find all providers in zip 37388 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883343 | Jennifer Leigh Slater | Nurse Practitioner | 109 Williamsburg Blvd, Tullahoma, TN 37388-5412 | 2020-02-19 |
| 1295031235 | Robbie M. Harmon | Nurse Practitioner | 6015 Ledford Mill Rd, Tullahoma, TN 37388-7972 | 2011-02-09 |
| 1881852671 | Mindy D Holloway | Nurse Practitioner | 100 Hunters Ln, Ste 100, Tullahoma, TN 37388-8263 | 2008-05-28 |
| 1235300054 | Jacqueline D. Blanton | Nurse Practitioner | 1801 N Washington St, Ste. 300, Tullahoma, TN 37388-8245 | 2008-03-19 |
| 1205921152 | Connie S Leanza | Nurse Practitioner | 1805 N Jackson St, Suite 1, Tullahoma, TN 37388-2290 | 2006-10-04 |
| 1659343762 | Kim W Stockton | Nurse Practitioner | 100 Hunters Ln, Suite 100, Tullahoma, TN 37388-8263 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
| 1063034429 | Jared Garrison | Nurse Practitioner | 700 Harbor Edge Dr Apt 102, Memphis, TN 38103-5840 | 2020-05-08 |
| 1548893472 | Caroline Kelly Pigford | Nurse Practitioner | 5737 Sarah Dr, Ooltewah, TN 37363-6465 | 2020-02-19 |
| 1811529118 | Michelle Filomena Grise | Nurse Practitioner | 1466 Tiny Town Rd, Clarksville, TN 37042-8291 | 2020-02-05 |
| 1902445935 | Brad Harrell, Dnp LLC | Nurse Practitioner | 233 Lackey Ln, Ripley, TN 38063-1619 | 2019-12-20 |
| 1861039612 | Teresa Hea Brown | Nurse Practitioner | 180 Melodie Cir, Henderson, TN 38340-3628 | 2019-11-27 |
| 1962044883 | Seph Kestner | Nurse Practitioner | 1215 21st Ave S Fl Mce5, Nashville, TN 37232-0014 | 2019-10-11 |
| 1003457409 | Leven Ward | Nurse Practitioner | 250 Hartfield Dr, Medina, TN 38355-8941 | 2019-10-07 |
| 1619527124 | Amelia Hoyt Laws | Nurse Practitioner | Vanderbilt University Medical Center 1211, Nashville, TN 37232-0001 | 2019-09-17 |
| 1306493887 | Amber Nicole Madison | Nurse Practitioner | 2002 Court Ave, Memphis, TN 38104-2703 | 2019-08-20 |
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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.