GINA LYNN BEARDEN (NPI# 1689774291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689774291 |
| Entity Type | Individual |
| Full Name | GINA LYNN BEARDEN |
| Credential | NP |
| Practice Address |
370 Bmh Physicians Office Bldg Maryville TN 37804-5819 |
| Mailing Address |
6701 Baum Dr Ste 140 Knoxville TN 37919-7361 |
| Practice Telephone | 8659774673 |
| Practice Fax Number | 8659805222 |
| Mailing Telephone | 8655845727 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2019-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APN0000007625 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000007625 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1505393 | 05 |
| Street Address |
370 BMH PHYSICIANS OFFICE BLDG |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154395044 | Mark Ellison Green | Internal Medicine | 370 Bmh Physicians Office Bldg, Maryville, TN 37804-5819 | 2006-02-15 |
| 1831572296 | Benjamin Blodgett | Podiatrist | 370 Bmh Physicians Office Bldg, Maryville, TN 37804-5819 | 2015-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779184 | Elizabeth Bell | Nurse Practitioner | 6411 Howard School Rd, Maryville, TN 37801-1436 | 2019-09-11 |
| 1477742047 | David E Johnson | Nurse Practitioner | 2090 Uadalabene Drive, Maryville, IL 62062 | 2007-10-19 |
| 1801967765 | Cynthia Tucker Canfield | Nurse Practitioner | 252 Cherokee Professional Park, Maryville, TN 37804-5153 | 2006-11-13 |
| 1407899446 | Jennifer M Morton | Nurse Practitioner | 250 Bmh Physicians Office Bldg, Maryville, TN 37804-5904 | 2006-06-14 |
| 1821039348 | Donna J. Smith | Nurse Practitioner | 2012 Chilhowee Medical Park, Maryville, TN 37804-5285 | 2006-06-08 |
| 1023577442 | Christie Marie Keen | Nurse Practitioner | 6800 State Route 162, Maryville, IL 62062-8521 | 2019-03-15 |
| 1912478231 | Ryan Parker | Nurse Practitioner | 6812 State Route 162 Ste 202, Maryville, IL 62062-8562 | 2018-12-14 |
| 1902398969 | Align Health Management Inc. | Nurse Practitioner | 2732 Us Highway 411 S, Maryville, TN 37801-3104 | 2018-06-05 |
| 1528585403 | Angela Christine Chaffin | Nurse Practitioner | 252 Cherokee Professional Park, Maryville, TN 37804 | 2017-08-23 |
| 1679003628 | Sonda Rena Johnson | Nurse Practitioner | 6800 State Route 162, Maryville, IL 62062-8500 | 2017-06-13 |
| Find all providers in MARYVILLE | ||||
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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.