DIEDRE FAY SUITS (NPI# 1699062554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699062554 |
| Entity Type | Individual |
| Full Name | DIEDRE FAY SUITS |
| Credential | FNP-C |
| Practice Address |
2650 Executive Park Nw Suite 5 Cleveland TN 37312-2746 |
| Practice Telephone | 4234799679 |
| Practice Fax Number | 4235599046 |
| Mailing Telephone | 4234799679 |
| Mailing Fax Number | 4235599046 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
110065 | TN | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 15905 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2650 EXECUTIVE PARK NW SUITE 5 |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750322863 | Jerry Allan Devane | Emergency Medicine | 2650 Executive Park Nw, Cleveland, TN 37312-2746 | 2006-06-09 |
| 1144662834 | Anna Kathleen Carden | Nurse Practitioner | 2650 Executive Park Nw, Cleveland, Tn, Cleveland, TN 37312-2746 | 2013-07-23 |
| 1326480112 | Angela Marie Coates | Nurse Practitioner | 2650 Executive Park Nw, Cleveland, TN 37312-2746 | 2013-07-23 |
| 1740545151 | Judith L Dedeker | Registered Nurse | 2650 Executive Park Nw, Suite 5, Cleveland, TN 37312-2746 | 2012-07-11 |
| 1386909760 | Stephan M Becker Md | Psychiatry & Neurology | 2650 Executive Park Nw, Suite 3, Cleveland, TN 37312-2746 | 2012-07-11 |
| 1184944365 | Patricia L Craig | Social Worker | 2650 Executive Park Nw, Suite 3, Cleveland, TN 37312-2746 | 2010-06-10 |
| 1952631889 | Timothy J Tatum | Counselor | 2650 Executive Park Nw, Suite 3, Cleveland, TN 37312-2746 | 2009-12-26 |
| 1063678795 | Stephan Max Becker | Psychiatry & Neurology | 2650 Executive Park Nw, Suite 3, Cleveland, TN 37312-2746 | 2008-08-01 |
| 1497921852 | William A Holland Jr. | Independent Medical Examiner | 2650 Executive Park Nw, Suite 5, Cleveland, TN 37312-2746 | 2008-05-06 |
| 1326228602 | Robert Stetson, Md, Pllc | Clinic/Center | 2650 Executive Park Nw, Suite #3, Cleveland, TN 37312-2746 | 2007-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| Find all providers in zip 37312 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144469 | Michael Trompak | Registered Nurse | 9500 Euclid Ave, Cleveland, OH 44195-0002 | 2020-11-04 |
| 1689160111 | Audrey Denise Vosniak | Registered Nurse | 12301 Snow Rd, Cleveland, OH 44130-1002 | 2018-07-09 |
| 1740545151 | Judith L Dedeker | Registered Nurse | 2650 Executive Park Nw, Suite 5, Cleveland, TN 37312-2746 | 2012-07-11 |
| 1942531934 | Joan B Keel | Registered Nurse | 2650 Executive Park Nw Ste 5, Cleveland, TN 37312-2746 | 2010-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218459 | Kenna Nicole Major | Registered Nurse | 4517 Felty Dr, Knoxville, TN 37918-5068 | 2020-09-02 |
| 1154939122 | Heather Slipher | Registered Nurse | 3603 Kathleen Ct, Murfreesboro, TN 37127-7140 | 2020-07-16 |
| 1689228736 | April Michelle Mcadams | Registered Nurse | 1980 Greenland Way Apt 207, Knoxville, TN 37932-1857 | 2019-07-26 |
| 1649823600 | Kristina Bowles Franklin | Registered Nurse | 302 E Forest Ln, Oak Ridge, TN 37830-3921 | 2019-07-18 |
| 1134686116 | Trent Jim-e Theriac | Registered Nurse | 399 E Highway 22, Union City, TN 38261-8028 | 2019-02-26 |
| 1033588462 | Kristina Gewitsch | Registered Nurse | 1317 Roxbury Ct, Murfreesboro, TN 37128-2715 | 2015-09-15 |
| 1942695101 | Kami Meade | Registered Nurse | 809 Lamont St., Mountain Home, TN 37684 | 2015-04-03 |
| 1447644513 | Cori Carmichael | Registered Nurse | 1333 Georgetown Dr, Old Hickory, TN 37138-1679 | 2015-03-26 |
| 1255629689 | Jayme Alan Rosenberger | Registered Nurse | 8309 Rossi Rd, Brentwood, TN 37027-8392 | 2011-07-19 |
| 1952575516 | Roseann Christine Poyourow | Registered Nurse | 1017 Harding Dr, Clarksville, TN 37042-3378 | 2008-04-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DIEDRE FAY SUITS.
| 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.