KELLY TALARICO (NPI# 1720605439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720605439 |
Entity Type | Individual |
Full Name | KELLY TALARICO |
Credential | FNP |
Practice Address |
933 W Race St Kingston TN 37763-2123 |
Mailing Address |
1275 Dick Lonas Rd Knoxville TN 37909-1382 |
Practice Telephone | 8658820105 |
Mailing Telephone | 8655844747 |
Enumeration Date | 2020-06-29 |
Last Update Date | 2020-08-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
27838 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
933 W RACE ST |
City | KINGSTON |
State | TN |
Zip Code | 37763-2123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851432777 | Bhavana Vora | Family Medicine | 933 W Race St, Kingston, TN 37763-2123 | 2007-02-12 |
1982966966 | Megan H Chapman | Physician Assistant | 933 W Race St, Kingston, TN 37763 | 2012-06-14 |
1639445208 | Summit Medical Group, Pllc | Family Medicine | 933 W Race St, Kingston, TN 37763-2123 | 2012-03-28 |
1083931430 | Amanda Smith Ferguson | Nurse Practitioner | 933 W Race St, Kingston, TN 37763-2123 | 2010-04-26 |
1174766372 | Buffy Snow | Nurse Practitioner | 933 W Race St, Kingston, TN 37763-2123 | 2009-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124445937 | Jessica Shea Kirkland | Physical Therapist | 629 Gallher Rd, Kingston, TN 37763 | 2014-03-19 |
1639328529 | Kenneth P Fus | Pharmacist | 106 W. Race Street, Kingston, TN 37763 | 2008-09-16 |
1558580266 | Total Mobility Inc | Durable Medical Equipment & Medical Supplies | 2644 Decatur Hwy, Kingston, TN 37763 | 2007-04-24 |
1699824789 | James David Walmsley Jr. | Dentist | 1011 Waterford Pl, Kingston, TN 37763 | 2007-01-09 |
1689618886 | William Joseph Roberts | General Practice | 1445 Kingston Way, Kingston, TN 37763 | 2006-06-16 |
1851356851 | Larry D Ladd | Physical Therapist | 100 E Race St, A, Kingston, TN 37763 | 2006-04-20 |
1497725964 | Elizabeth Turner | Social Worker | 1002 Bradford Way, Kingston, TN 37763 | 2006-01-25 |
1073064309 | Elizabeth Jennings Ivey | Counselor | 508 N Kentucky St Ste 4, Kingston, TN 37763 | 2016-10-21 |
1568609220 | Michelle Carr | Occupational Therapist | 187 Gallaher Rd, Kingston, TN 37763 | 2009-01-15 |
1851361547 | Sharon L Bryant | Psychologist | 1002 Bradford Way, Kingston, TN 37763 | 2006-01-25 |
Find all providers in zip 37763 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225637309 | Christine Marie Pabst | Nurse Practitioner | 667 Meadowland Ave, Kingston, PA 18704-5316 | 2020-10-20 |
1972126027 | Victoria Finn | Nurse Practitioner | 110 Summer St, Kingston, MA 02364-1419 | 2020-05-23 |
1104453158 | Nicola Richards | Nurse Practitioner | 80 Grand St, Kingston, NY 12401-3908 | 2020-03-26 |
1700369006 | Mary Christina Carter | Nurse Practitioner | 1215 River Bend Dr, Kingston, TN 37763-4528 | 2018-09-12 |
1568955342 | Debra L Mclaughlin | Nurse Practitioner | 2 Red Gate Dr, Kingston, NH 03848-3146 | 2018-06-07 |
1780107698 | Kelly Burger | Nurse Practitioner | 40 Hurley Ave Ste 4, Kingston, NY 12401-3738 | 2017-07-23 |
1720526437 | Tammy Lynn Williams | Nurse Practitioner | 7 N Main, Kingston, OK 73439 | 2017-02-02 |
1053774794 | Tressa Antionette Matchen | Nurse Practitioner | 701 East Hwy 70 Alliance Health Medical Group, Kingston, OK 73439 | 2016-03-31 |
1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
1346589801 | John W Rosencrans Crnp, PC | Nurse Practitioner | 395 Osceola Ave, Kingston, PA 18704-5118 | 2013-02-04 |
Find all providers in KINGSTON |
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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.