KESHIA ABBOTT (NPI# 1700327236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700327236 |
| Entity Type | Individual |
| Full Name | KESHIA ABBOTT |
| Practice Address |
145 W 4th St Cookeville TN 38501-2447 |
| Mailing Address |
127 N Oak Ave Suite D Cookeville TN 38501-2435 |
| Practice Telephone | 9317832143 |
| Practice Fax Number | 9317832152 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22439 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100470230 | 05 | |
| TN | Q027421 | 05 | |
| TN | BCBS | 6102285 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 145 W 4th St, Suite 102, Cookeville, TN 385012447 | 9317832143 |
| Street Address |
145 W 4TH ST |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629062740 | Lee R Crowe | Internal Medicine | 145 W 4th St, Suite 201, Cookeville, TN 38501-2447 | 2005-09-02 |
| 1417182304 | Ronak Jani | Psychiatry & Neurology | 145 W 4th St, Suite 201, Cookeville, TN 38501-2447 | 2009-05-20 |
| 1831346238 | Ndubuisi Chiamaka Okafor | Internal Medicine | 145 W 4th St, Suite 102, Cookeville, TN 38501-2447 | 2008-08-27 |
| 1457516163 | Zaid A Brifkani | Internal Medicine | 145 W 4th St, Suite 201, Cookeville, TN 38501-2447 | 2008-07-22 |
| 1881894582 | Qurrat Ul Ain Shamim | Internal Medicine | 145 W 4th St, Suite 201, Cookeville, TN 38501-2447 | 2007-07-20 |
| 1205844974 | Freedom K Ikedionwu | Internal Medicine | 145 W 4th St, Suite 201, Cookeville, TN 38501-2447 | 2006-08-04 |
| 1831129717 | Cookeville Neurology | Specialist | 145 W 4th St, Suite 202, Cookeville, TN 38501-2447 | 2006-07-04 |
| 1053388561 | Mark Arden Pierce | Internal Medicine | 145 W 4th St, Suite 201, Cookeville, TN 38501-2447 | 2006-03-02 |
| 1942299599 | Pepe L Thompson | Nurse Practitioner | 145 W 4th St, Suite 102, Cookeville, TN 38501-2447 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356824379 | Natashia Melton | Nurse Practitioner | 1271 Walton Ln, Cookeville, TN 38501-1866 | 2018-09-14 |
| 1215414628 | Danny Miller | Nurse Practitioner | 606 E Spring St Ste B, Cookeville, TN 38501-5067 | 2018-07-27 |
| 1851893028 | Sarah Delk | Nurse Practitioner | 105 S Willow Ave Ste 100, Cookeville, TN 38501-4668 | 2018-03-05 |
| 1396102521 | British Bates | Nurse Practitioner | 1644 E Spring St, Cookeville, TN 38506-4317 | 2016-01-19 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1790113553 | Hometown Family Care, LLC | Nurse Practitioner | 675 B South Jefferson Avenue, Cookeville, TN 38501-0950 | 2013-10-14 |
| 1962740217 | Christie Hummel | Nurse Practitioner | 112 N. Walnut Ave, Cookeville, TN 38501 | 2013-01-22 |
| 1922344761 | Grant P Hall | Nurse Practitioner | 1362 Ivy Ln, Cookeville, TN 38501-3057 | 2012-12-26 |
| 1740539063 | Jennifer Lynn Lee | Nurse Practitioner | 4725 Maple Shade Cir, Cookeville, TN 38501-0829 | 2012-08-31 |
| 1780961169 | Heather Harden Cathey | Nurse Practitioner | 1120 Sam's Street, Cookeville, TN 38506 | 2011-11-14 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on KESHIA ABBOTT.
| 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.