ERIN MCCULLOCH CRISP (NPI# 1487610069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487610069 |
| Entity Type | Individual |
| Full Name | ERIN MCCULLOCH CRISP |
| Credential | PAC |
| Practice Address |
1407 W Baddour Pkwy Lebanon TN 37087-2513 |
| Practice Telephone | 6154446203 |
| Practice Fax Number | 6154446252 |
| Mailing Telephone | 6154446203 |
| Mailing Fax Number | 6154446252 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2013-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA0000001315 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1407 W BADDOUR PKWY |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518360874 | Lindsey Nicole Lattimore | Emergency Medical Technician, Intermediate | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2014-10-01 |
| 1417296807 | Christine Corpuz Kowal | Nurse Practitioner | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2013-02-05 |
| 1922359025 | John William Deason IIi | Pharmacist | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2012-09-28 |
| 1073742250 | Richard A. Kincaid | Nurse Practitioner | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2009-07-08 |
| 1629221692 | Tracy L Moss | Nurse Practitioner | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2008-11-03 |
| 1629245634 | Benita K Qualls | Physician Assistant | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2008-05-09 |
| 1306013305 | Jason L Black | Nurse Practitioner | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2008-05-09 |
| 1083881064 | Jaime Christen Blaylock | Nurse Practitioner | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2008-05-09 |
| 1255526380 | Keith T Winfree | Nurse Practitioner | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2007-09-11 |
| 1174669998 | Bernard Tan Sy | Internal Medicine | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1841843174 | Jesse Paul Laughner | Physician Assistant | 735 Norman Dr Ste 8, Lebanon, PA 17042-7559 | 2019-07-16 |
| 1881868750 | Oronzo Ronald Schiraldi | Physician Assistant | 7 Deer Run, Lebanon, NJ 08833-3004 | 2008-04-22 |
| 1740211788 | Tammie Wampler | Physician Assistant | 107 Glidepath Way, Lebanon, TN 37090-4133 | 2006-07-06 |
| 1023013620 | Richard B Halbur | Physician Assistant | 191 N Main St, Lebanon, OR 97355-2870 | 2005-06-20 |
| 1326679366 | Joshua Christopher Schirripa | Physician Assistant | 675 N 5th St Ste 200, Lebanon, OR 97355-2875 | 2020-01-29 |
| 1245878420 | Lauren Michelle Eastman | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2019-12-18 |
| 1164079091 | Sarah A Muse | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2019-08-26 |
| 1356812291 | David Lawrence Federoff | Physician Assistant | 35 Mullins Dr Ste 2, Lebanon, OR 97355-3985 | 2018-12-17 |
| 1790262525 | Erin Elizabeth Schroeder | Physician Assistant | 2705 N Lebanon St Ste 210, Lebanon, IN 46052-8622 | 2018-07-24 |
| Find all providers in LEBANON | ||||
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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.