STEPHANIE NIDIFFER (NPI# 1508408956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508408956 |
| Entity Type | Individual |
| Full Name | STEPHANIE NIDIFFER |
| Practice Address |
3328 Jenkins Rd Ste 200 Chattanooga TN 37421-1298 |
| Mailing Address |
7013 Genoa Dr Chattanooga TN 37421-5747 |
| Practice Telephone | 8652747706 |
| Mailing Telephone | 8652747706 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
24120 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3328 JENKINS RD STE 200 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-1298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790020139 | Sheila Perolina Umayam | Nurse Practitioner | 6220 Shallowford Rd, Apt 293, Chattanooga, TN 37421-6928 | 2012-12-11 |
| 1164776126 | Ashley O'barr Haynes | Nurse Practitioner | 5705 Uptain Rd, Suite C, Chattanooga, TN 37411-5613 | 2012-10-30 |
| 1740512177 | Erin Michelle Harper | Nurse Practitioner | 1200 Dodson Avenue, Chattanooga, TN 37406 | 2010-02-10 |
| 1093952475 | Marissa Anne Bunch | Nurse Practitioner | 7320 Shallowford Rd, Suite B, Chattanooga, TN 37421-2626 | 2009-01-07 |
| 1225637564 | Amanda R Rogers | Nurse Practitioner | 409 Dodds Ave, Chattanooga, TN 37404-3908 | 2020-10-19 |
| 1861966251 | Megan P Swisher | Nurse Practitioner | 7550 Goodwin Rd, Chattanooga, TN 37421-3182 | 2019-01-18 |
| 1104302546 | Brianne Arnold | Nurse Practitioner | 7320 Shallowford Rd Ste B, Chattanooga, TN 37421-2626 | 2018-07-18 |
| 1871094284 | Ashley Nicole Lamb | Nurse Practitioner | 7550 Goodwin Rd, Chattanooga, TN 37421-3182 | 2018-02-22 |
| 1558766196 | Brynn Atchley Byers | Nurse Practitioner | 910 Blackford Street, Massoud 400, Chattanooga, TN 37403 | 2014-10-24 |
| 1801134911 | Vanessa Haynes Phipps | Nurse Practitioner | 6172 Airways Blvd Ste 122, Chattanooga, TN 37421-2915 | 2013-01-24 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on STEPHANIE NIDIFFER.
| 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.