MRS. DARICE R SPACKMAN (NPI# 1689656910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689656910 |
| Entity Type | Individual |
| Full Name | MRS. DARICE R SPACKMAN |
| Other Name | MS. DARICE R JENKINS |
| Credential | PAC ATC |
| Practice Address |
330 22nd Ave N Nashville TN 37203-1844 |
| Practice Telephone | 6153200007 |
| Practice Fax Number | 6153200009 |
| Mailing Telephone | 6153200007 |
| Mailing Fax Number | 6153200009 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2015-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 949 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
949 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS ASSISTANT AT SURGERY | 4193033 | 01 |
| TN | 1504589 | 05 | |
| TN | BCBS | 4166893 | 01 |
| Street Address |
330 22ND AVE N |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771254 | Brianna Evelyn Ewin | Nurse Practitioner | 330 22nd Ave N, Nashville, TN 37203-1844 | 2019-10-10 |
| 1104472794 | Tanya Glenna Thompson Kehoe | Occupational Therapist | 330 22nd Ave N, Nashville, TN 37203-1844 | 2019-08-10 |
| 1255985743 | Rachel Ann Greene | Registered Nurse | 330 22nd Ave N, Nashville, TN 37203-1844 | 2019-08-01 |
| 1154986636 | Neurosurgical Associates | Neurological Surgery | 330 22nd Ave N, Nashville, TN 37203-1844 | 2019-05-09 |
| 1730678178 | Victoria Demonte Danis | Physician Assistant | 330 22nd Ave N, Nashville, TN 37203-1844 | 2018-05-01 |
| 1336531565 | Lindsey S Keenum | Physician Assistant | 330 22nd Ave N, Nashville, TN 37203-1844 | 2015-02-25 |
| 1073925665 | Advancd Diagnostic Imaging, PC | Durable Medical Equipment & Medical Supplies | 330 22nd Ave N, Nashville, TN 37203-1844 | 2014-05-30 |
| 1679909766 | Christina L. Twine | Nurse Practitioner | 330 22nd Ave N, Nashville, TN 37203-1844 | 2013-09-19 |
| 1649619354 | Amy Becton | Physician Assistant | 330 22nd Ave N, Nashville, TN 37203-1844 | 2013-06-17 |
| 1144585654 | Charles Eugene Ludwig | Nurse Practitioner | 330 22nd Ave N, Nashville, TN 37203-1844 | 2012-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099491 | Caraline Berlynn Mcdowell | Physician Assistant | 284 Clearlake Dr W, Nashville, TN 37217-4547 | 2020-10-06 |
| 1508463365 | Logan Curran Martin | Physician Assistant | 5431 Edmondson Pike # 10, Nashville, TN 37211-5806 | 2020-10-05 |
| 1487261798 | Charity Grace Coppedge | Physician Assistant | 105 Twin Oaks Dr, Nashville, TN 37211-2765 | 2020-09-30 |
| 1871100586 | Emily Philpott | Physician Assistant | 905 20th Ave S Apt 1306, Nashville, TN 37203-2672 | 2020-09-27 |
| 1063028876 | Emma Landers | Physician Assistant | 1534 Douglas Ave, Nashville, TN 37206-2309 | 2020-09-17 |
| 1730795527 | Melanie Rees | Physician Assistant | 111 33rd Ave S Apt 102, Nashville, TN 37212-3241 | 2020-09-17 |
| 1679112395 | Hannah Lizbeth Sullivan | Physician Assistant | 111 Old Hickory Blvd Apt 261, Nashville, TN 37221-6857 | 2019-12-27 |
| 1225599921 | Merit Gerges Azab | Physician Assistant | 2113 Forge Ridge Cir, Nashville, TN 37217-3028 | 2019-03-26 |
| 1154889392 | Hannah Maria Harper | Physician Assistant | 111 17th Ave S Apt 1311, Nashville, TN 37203-2791 | 2019-03-06 |
| 1871068205 | Joseph Teal | Physician Assistant | 4534 Harding Pike, Nashville, TN 37205-2102 | 2018-10-12 |
| Find all providers in NASHVILLE | ||||
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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.