MRS. CASEY TILLERY (NPI# 1710227905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710227905 |
| Entity Type | Individual |
| Full Name | MRS. CASEY TILLERY |
| Credential | ANP, GNP |
| Practice Address |
1600 22nd Ave Medical Towers IIi Meridian MS 39301-3223 |
| Practice Telephone | 6014835322 |
| Practice Fax Number | 6015812289 |
| Mailing Telephone | 6014835322 |
| Mailing Fax Number | 6015812289 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R870048 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1600 22ND AVE MEDICAL TOWERS III |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609867209 | Joel Charles Reynolds | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2005-11-02 |
| 1730671538 | Erin Cooley | Nurse Practitioner | 1600 22nd Ave, Meridian, MS 39301-3223 | 2018-06-06 |
| 1043662851 | Sarah Neely Ivey | Nurse Practitioner | 1600 22nd Ave, Meridian, MS 39301-3223 | 2016-07-05 |
| 1114399375 | Brandi L Robinson | Nurse Practitioner | 1600 22nd Ave, Meridian, MS 39301-3223 | 2015-10-28 |
| 1760627111 | Jessica T Meyer | Nurse Practitioner | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2008-12-12 |
| 1396980116 | Valerie Nicole Evans | Family Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2008-12-08 |
| 1396927448 | Attila Roka | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2007-11-30 |
| 1225232895 | Larry Shea Shea Hailey | Internal Medicine | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2007-06-14 |
| 1346466596 | Eric Vincent Plott | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2007-04-17 |
| 1821124728 | Mark T Phillips | Urology | 1600 22nd Ave, Medical Towers IIi, 3rd Floor, Meridian, MS 39301-3223 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326513920 | Jacquelyn Bruner Ray | Nurse Practitioner | 6102 11th Ave, Meridian, MS 39305-1219 | 2018-10-10 |
| 1952883571 | Ana Linda Laborde | Nurse Practitioner | 4528 N Bright Angel Ave, Meridian, ID 83646-3655 | 2018-08-30 |
| 1245690544 | Olde Town Medical | Nurse Practitioner | 124 E Pine Ave, Meridian, ID 83642-2331 | 2016-02-29 |
| 1386813632 | Mary Ann Howell | Nurse Practitioner | 2340 N Hills St, Ste F, Meridian, MS 39305-2651 | 2008-02-20 |
| 1356976039 | Julianne Hollist | Nurse Practitioner | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646-3242 | 2020-03-03 |
| 1568911527 | Jenna Harper | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2016-09-30 |
| 1942659735 | Lindsey Rigdon | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2016-06-13 |
| 1609232123 | Vickie L Warren | Nurse Practitioner | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2016-01-13 |
| 1700076312 | Shirley Edna Vanzandt | Nurse Practitioner | 3025 W Cherry Lane, Ste B, Meridian, ID 83642-8531 | 2007-07-30 |
| 1992787907 | Cynthia H. Luther | Nurse Practitioner | 4331 Highway 39 N, Meridian, MS 39301-1007 | 2005-11-16 |
| Find all providers in MERIDIAN | ||||
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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.