PATRICK FAIR (NPI# 1639653165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639653165 |
Entity Type | Individual |
Full Name | PATRICK FAIR |
Practice Address |
2377 Fairview Blvd Fairview TN 37062-6003 |
Mailing Address |
1529 57th Ave N Nashville TN 37209-1459 |
Practice Telephone | 6157990101 |
Practice Fax Number | 6152662945 |
Mailing Telephone | 6158128927 |
Enumeration Date | 2018-09-20 |
Last Update Date | 2020-10-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 24252 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
24252 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q045597 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3601 The Vanderbilt Clinic, Nashville, TN 372326003 | 6153223000 |
Street Address |
2377 FAIRVIEW BLVD |
City | FAIRVIEW |
State | TN |
Zip Code | 37062-6003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639533912 | Julie Wilson | Nurse Practitioner | 2377 Fairview Blvd, Fairview, TN 37062-6003 | 2016-04-12 |
1164994406 | Stephanie Jane Perry | Nurse Practitioner | 2377 Fairview Blvd, Fairview, TN 37062-6003 | 2018-12-27 |
1699225367 | Lauren Barrera Judkins | Nurse Practitioner | 2377 Fairview Blvd, Fairview, TN 37062-6003 | 2016-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740757764 | Advanced Diagnostic Imaging, PC | Internal Medicine | 2340 Fairview Boulevard, Suite 600d, Fairview, TN 37062 | 2018-10-29 |
1730680414 | Kjk LLC | Pharmacy | 2340 Fairview Blvd. Suite 300, Fairview, TN 37062 | 2018-02-27 |
1992257281 | Amanda Clark | Occupational Therapy Assistant | 7146 Bahne Rd, Fairview, TN 37062 | 2016-11-02 |
1740654458 | Nicolette Stephens | Nurse Practitioner | 7130 New Hope Rd, Fairview, TN 37062 | 2015-11-18 |
1063849875 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7100 Hopgood Rd, Fairview, TN 37062 | 2013-10-11 |
1710230628 | Phillip Owens | Counselor | 7200 Cumberland Dr, Fairview, TN 37062 | 2012-10-17 |
1013290899 | Zachary Neal Alexander | Counselor | 2595 Fairview Blvd, Fairview, TN 37062 | 2011-09-27 |
1750608113 | Savita Leanne Fanta | Internal Medicine | 2340 Fairview Blvd Ste 600d, Fairview, TN 37062 | 2010-04-26 |
1083818108 | Fairview Medical Center | Family Medicine | 7100 Adams Dr, Fairview, TN 37062 | 2007-06-13 |
1689759516 | Teresa Marie Clark | Dental Assistant | 7218 Birch Bark Drive, Fairview, TN 37062 | 2006-10-26 |
Find all providers in zip 37062 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
1033733589 | Jennifer Renee Ramm | Nurse Practitioner | 1320 Mulberry Ln, Fairview, PA 16415-1562 | 2020-06-01 |
1053976985 | Evelyne N Epie | Nurse Practitioner | 356 Benton Ave, Fairview, TX 75069-6811 | 2019-05-06 |
1578058764 | Natalie Organ | Nurse Practitioner | 225 E 100 S, Fairview, UT 84629 | 2018-06-29 |
1598212664 | Megan Leigh Ewing | Nurse Practitioner | 519 East State Road, Fairview, OK 73737 | 2016-09-07 |
1639533912 | Julie Wilson | Nurse Practitioner | 2377 Fairview Blvd, Fairview, TN 37062-6003 | 2016-04-12 |
1740654458 | Nicolette Stephens | Nurse Practitioner | 7130 New Hope Rd, Fairview, TN 37062 | 2015-11-18 |
1134408461 | Sandra Sue Jones | Nurse Practitioner | 2727 Fairview Blvd, Fairview, TN 37062-9088 | 2011-08-04 |
1235746496 | Jacquelyn M Roman | Nurse Practitioner | 175 Bergen Blvd, Fairview, NJ 07022-1619 | 2020-09-30 |
1750849485 | Dee Laura Hamburg | Nurse Practitioner | 35511 County Road 134, Fairview, MT 59221-9465 | 2019-03-12 |
Find all providers in FAIRVIEW |
Please comment or provide details below to improve the information on PATRICK FAIR.
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.