KAITLIN MCDANIEL (NPI# 1609304286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609304286 |
| Entity Type | Individual |
| Full Name | KAITLIN MCDANIEL |
| Credential | PA-C |
| Practice Address |
1325 Eastmoreland Ave Ste 310 Memphis TN 38104-7544 |
| Mailing Address |
Po Box 1000 Dept 457 Memphis TN 38148-0001 |
| Practice Telephone | 9012726010 |
| Practice Fax Number | 9012666468 |
| Mailing Telephone | (901) 275-3662 |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2017-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 3196 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3196 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1325 EASTMORELAND AVE STE 310 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-7544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528289808 | Shaun Michael Stickley | Surgery | 1325 Eastmoreland Ave Ste 310, Memphis, TN 38104-7544 | 2007-05-02 |
| 1699289272 | Reona Michelle Esson | Nurse Practitioner | 1325 Eastmoreland Ave Ste 310, Memphis, TN 38104-7544 | 2017-11-19 |
| 1457623258 | Alicia A Farris | Nurse Practitioner | 1325 Eastmoreland Ave Ste 310, Memphis, TN 38104-7544 | 2012-02-08 |
| 1134448269 | Carissa A Webster-lake | Surgery | 1325 Eastmoreland Ave Ste 310, Memphis, TN 38104-7544 | 2010-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568910560 | Erica Troia Comstock | Physician Assistant | 7193 Farnham Rd, Memphis, NY 13112-8764 | 2016-09-19 |
| 1578895546 | Carl H. Harris | Physician Assistant | 6946 Finch Rd, Memphis, TN 38141-8598 | 2010-02-02 |
| 1831361948 | F & P Certified Surgical Assistants LLC | Physician Assistant | 4793 Northwood Hills Cv, Memphis, TN 38128-1632 | 2008-03-28 |
| 1265619118 | Jerry Emerson Shaw | Physician Assistant | 3980 New Covington Pike Ste 200, Memphis, TN 38128-2514 | 2008-01-23 |
| 1508974700 | Mary E Bruce | Physician Assistant | 890 Madison Ave, Memphis, TN 38103-3409 | 2006-08-28 |
| 1427683796 | Madison Barry | Physician Assistant | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-03-07 |
| 1891340154 | Lauren Elizabeth Whitley | Physician Assistant | 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 | 2019-08-05 |
| 1518519057 | Michael Trevor Houseal | Physician Assistant | 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 | 2019-07-15 |
| 1427571850 | Kristen Kaplon | Physician Assistant | 6029 Walnut Grove Rd Ste 401, Memphis, TN 38120-2112 | 2017-07-18 |
| 1316485667 | Kathryn Lee | Physician Assistant | 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120-2123 | 2017-02-07 |
| Find all providers in MEMPHIS | ||||
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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.