TLC II PRIMARY CARE PLLC (NPI# 1427455138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427455138 |
Entity Type | Organization |
Organization Name | TLC II PRIMARY CARE PLLC |
Practice Address |
9457 David Smith Ln Suite 105 Ooltewah TN 37363-7292 |
Mailing Address |
9457 David Smith Lane Suite 105 Ooltewah TN 37363-7292 |
Practice Telephone | 4233627600 |
Mailing Telephone | 4233627600 |
Enumeration Date | 2014-11-24 |
Last Update Date | 2014-11-24 |
Authorized Official Name | DR. ROBYN L SANDIN (OWNER) |
Authorized Official Telephone | 4233627600 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN00000051112 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
9457 DAVID SMITH LN SUITE 105 |
City | OOLTEWAH |
State | TN |
Zip Code | 37363-7292 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568708261 | Gregory C Schrader | Chiropractor | 9457 David Smith Ln, Ooltewah, TN 37363-7292 | 2012-12-27 |
1316487382 | Collegedale Chiropractic Pllc | Chiropractor | 9457 David Smith Ln, Suite 105, Ooltewah, TN 37363-7292 | 2017-02-24 |
1518400506 | Don D Duff Dc Dba Collegedale Chiropractic | Chiropractor | 9457 David Smith Ln, Suite 105, Ooltewah, TN 37363-7292 | 2016-11-23 |
1659780005 | Tlc Primary Care LLC | Specialist | 9457 David Smith Ln, Suite 105, Ooltewah, TN 37363-7292 | 2014-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487203196 | University Health Center | Clinic/Center | 4687 University Drive, Ooltewah, TN 37363 | 2019-09-05 |
1508426560 | Alexandra Scott | Dentist | 8985 Old Lee Hwy, Suite 103, Ooltewah, TN 37363 | 2019-06-20 |
1093286304 | Wright Pediatric Dentistry | Dentist | 8202 Apison Pike, Ooltewah, TN 37363 | 2018-12-13 |
1770052888 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 6085 Arbury Way, Ooltewah, TN 37363 | 2018-11-19 |
1679055008 | Rebecca Brown | Nurse Practitioner | 9801 Robinson Farm Rd, Ooltewah, TN 37363 | 2018-09-01 |
1750877833 | Amanda Kirkpatrick | Dietitian, Registered | 6103 Hunter Crest Drive, Ooltewah, TN 37363 | 2018-07-02 |
1447759493 | Abigale Daniels | Specialist/Technologist | 6154 Wardwell Drive, Ooltewah, TN 37363 | 2018-02-06 |
1538671748 | Ryan Volking | Physician Assistant | 7564 Passport Dr, Ooltewah, TN 37363 | 2017-10-27 |
1255882270 | Stella Tsui | Physical Therapy Assistant | 3818 Chanterwood Trl, Ooltewah, TN 37363 | 2016-10-14 |
1013392299 | Rhonda Wilson | Counselor | 5516 Barons Point, Ooltewah, TN 37363 | 2015-07-29 |
Find all providers in zip 37363 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609480748 | Patricia Ruth Class | Nurse Practitioner | 9176 White Ash Dr, Ooltewah, TN 37363-1734 | 2020-09-05 |
1154953230 | Latisha L Toney | Nurse Practitioner | 7622 Bebe Branch Ln, Ooltewah, TN 37363-9784 | 2020-02-06 |
1679055008 | Rebecca Brown | Nurse Practitioner | 9801 Robinson Farm Rd, Ooltewah, TN 37363 | 2018-09-01 |
1114365871 | Jodi Nicole Mehlenbacher | Nurse Practitioner | 9203 Lee Highway, Suite 9, Ooltewah, TN 37363 | 2013-06-04 |
1720342918 | Robyn B Tobias | Nurse Practitioner | 5545 Little Debbie Pkwy, Ooltewah, TN 37363-4357 | 2012-07-02 |
1871864447 | Medvest Urgent Care LLC | Nurse Practitioner | 5545 Little Debbie Parkway, Ooltewah, TN 37363 | 2012-01-13 |
1114258746 | Candace Michele Craven | Nurse Practitioner | 9408 Apison Pike Ste 174, Ooltewah, TN 37363-5977 | 2010-01-21 |
1598231250 | Andrea Renee Dooley | Nurse Practitioner | 5911 Snow Hill Rd, Ooltewah, TN 37363 | 2018-10-22 |
1760960587 | Mary Green Durland | Nurse Practitioner | 6845 Mountain View Rd, Ooltewah, TN 37363 | 2018-08-02 |
1467947515 | Heather Nicole Dunn | Nurse Practitioner | 9309 Apison Pike, Ooltewah, TN 37363 | 2018-06-29 |
Find all providers in OOLTEWAH |
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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.