BAILEY GRACE ELKIN (NPI# 1710537345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710537345 |
| Entity Type | Individual |
| Full Name | BAILEY GRACE ELKIN |
| Practice Address |
1803 N Jackson St Tullahoma TN 37388-2201 |
| Practice Telephone | 9314611300 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 233202 | TN | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
26532 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1803 N JACKSON ST |
| City | TULLAHOMA |
| State | TN |
| Zip Code | 37388-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851429138 | Laura Beckwith Dotson | Nurse Practitioner | 1803 N Jackson St, Tullahoma, TN 37388-2201 | 2007-03-01 |
| 1164036943 | Lydia Marie Harvey | Counselor | 1803 N Jackson St, Tullahoma, TN 37388-2201 | 2020-08-31 |
| 1881213361 | Leslie Iorio | Student in an Organized Health Care Education/Training Program | 1803 N Jackson St, Tullahoma, TN 37388-2201 | 2020-04-14 |
| 1326679309 | Lawanda Yvette Christmon | Counselor | 1803 N Jackson St, Tullahoma, TN 37388-2201 | 2020-01-29 |
| 1891325585 | Sheila Marie Rhodes | Social Worker | 1803 N Jackson St, Tullahoma, TN 37388-2201 | 2020-01-22 |
| 1255978680 | Mark Christopher Shelton | Case Management | 1803 N Jackson St, Tullahoma, TN 37388-2201 | 2019-12-04 |
| 1417592965 | Kahly Marie Gurule | Registered Nurse | 1803 N Jackson St, Tullahoma, TN 37388-2201 | 2019-11-07 |
| 1679121222 | Mary Kathryn Bryant | Social Worker | 1803 N Jackson St, Tullahoma, TN 37388-2201 | 2019-08-27 |
| 1851943294 | Christine Lynn Kiser | Social Worker | 1803 N Jackson St, Tullahoma, TN 37388-2201 | 2019-07-16 |
| 1952864373 | Anastasia Lowhorn | Registered Nurse | 1803 N Jackson St, Tullahoma, TN 37388-2201 | 2019-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183628 | Angela Michelle Sowers | Dietitian, Registered | 1801 North Jackson St, Tullahoma, TN 37388 | 2017-09-09 |
| 1194242669 | Haley D Stewart | Speech-Language Pathologist | Top Rehab Services, Inc, 2110 N. Jackson Street, Tullahoma, TN 37388 | 2017-08-25 |
| 1295263150 | Kelli Elaine Spencer | Nurse Practitioner | Partners for Healing, 109 West Blackwell Street, Tullahoma, TN 37388 | 2017-05-23 |
| 1932651486 | Adam Snider | Physical Therapy Assistant | 1321 Cedar Lane, Tullahoma, TN 37388 | 2016-11-01 |
| 1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1003298639 | Jeanetta Clark | Counselor | 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 | 2015-06-19 |
| 1285051698 | Ashley Mcmurtry | Physical Therapist | 2110 N. Jackson Street, Tullahoma, TN 37388 | 2014-03-24 |
| 1093150575 | Orthopedic Braces | Case Management | 206 Westside Dr, Tullahoma, TN 37388 | 2013-05-09 |
| 1427397199 | Kristina Danette Carter | Pharmacist | 104 North Jackson Street, Tullahoma, TN 37388 | 2013-01-31 |
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| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851429138 | Laura Beckwith Dotson | Nurse Practitioner | 1803 N Jackson St, Tullahoma, TN 37388-2201 | 2007-03-01 |
| 1972926616 | Tammy Lee Cyr | Nurse Practitioner | 1803 N Jackson St, Tullahoma, TN 37388-2201 | 2014-01-31 |
| 1598077042 | Karyn J Harris | Nurse Practitioner | 1511 N Jackson St, Tullahoma, TN 37388-2343 | 2010-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972966 | Rebecca Singleton | Nurse Practitioner | 2601 N John B Dennis Hwy Apt 2318, Kingsport, TN 37660-0835 | 2020-11-03 |
| 1205434503 | Sonya Lavet Butler | Nurse Practitioner | 3413 Axelwood Dr, Murfreesboro, TN 37128-3984 | 2020-10-09 |
| 1417554361 | John Pearson Redmond | Nurse Practitioner | 1710 Ghost Creek Dr, Collierville, TN 38017-3425 | 2020-10-05 |
| 1861099061 | Justin Mccord | Nurse Practitioner | 454 Red Hill Center Rd, Lawrenceburg, TN 38464-6842 | 2020-10-01 |
| 1265049977 | Toya Owens | Nurse Practitioner | 2565 Mackinnon Dr, Memphis, TN 38119-7903 | 2020-09-26 |
| 1043827041 | Zamaria Davion Louise Gains | Nurse Practitioner | 7405 Shallowford Rd Ste 230, Chattanooga, TN 37421-7632 | 2020-09-24 |
| 1376158998 | Mary L Dean Turner | Nurse Practitioner | 6727 Stonetrace Dr, Bartlett, TN 38135-3054 | 2020-09-10 |
| 1205447794 | Sana Pathan | Nurse Practitioner | 829 S Sherbrooke Cir, Mount Carmel, TN 37645-4019 | 2020-08-10 |
| 1093325557 | Highland Behavioral Healthcare | Nurse Practitioner | 29 Taylor Ave Ste 204, Crossville, TN 38555-4537 | 2020-08-08 |
| 1225648009 | Angela R Davenport | Nurse Practitioner | 7110 Crossroads Blvd, Brentwood, TN 37027-2826 | 2020-08-05 |
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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.