SHEILA PEROLINA UMAYAM


Address: 6220 Shallowford Rd, Apt 293, Chattanooga, TN 37421-6928
Phone: 9316249331

SHEILA PEROLINA UMAYAM (NPI# 1790020139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790020139
Entity Type Individual
Full Name SHEILA PEROLINA UMAYAM
Credential PNP
Practice Address 6220 Shallowford Rd
Apt 293
Chattanooga
TN 37421-6928
Practice Telephone 9316249331
Mailing Telephone 9316249331
Enumeration Date 2012-12-11
Last Update Date 2013-01-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
APN17118 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 1530798 05

Office Location

Street Address 6220 SHALLOWFORD RD
APT 293
City CHATTANOOGA
State TN
Zip Code 37421-6928

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1093213332 Preferred Primary Care Clinic/Center 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 2018-01-31
1124526777 Elizabeth Marie Wright Nurse Practitioner 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 2018-01-30
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508408956 Stephanie Nidiffer Nurse Practitioner 3328 Jenkins Rd Ste 200, Chattanooga, TN 37421-1298 2019-10-16
1164776126 Ashley O'barr Haynes Nurse Practitioner 5705 Uptain Rd, Suite C, Chattanooga, TN 37411-5613 2012-10-30
1740512177 Erin Michelle Harper Nurse Practitioner 1200 Dodson Avenue, Chattanooga, TN 37406 2010-02-10
1093952475 Marissa Anne Bunch Nurse Practitioner 7320 Shallowford Rd, Suite B, Chattanooga, TN 37421-2626 2009-01-07
1225637564 Amanda R Rogers Nurse Practitioner 409 Dodds Ave, Chattanooga, TN 37404-3908 2020-10-19
1861966251 Megan P Swisher Nurse Practitioner 7550 Goodwin Rd, Chattanooga, TN 37421-3182 2019-01-18
1104302546 Brianne Arnold Nurse Practitioner 7320 Shallowford Rd Ste B, Chattanooga, TN 37421-2626 2018-07-18
1871094284 Ashley Nicole Lamb Nurse Practitioner 7550 Goodwin Rd, Chattanooga, TN 37421-3182 2018-02-22
1558766196 Brynn Atchley Byers Nurse Practitioner 910 Blackford Street, Massoud 400, Chattanooga, TN 37403 2014-10-24
1801134911 Vanessa Haynes Phipps Nurse Practitioner 6172 Airways Blvd Ste 122, Chattanooga, TN 37421-2915 2013-01-24
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Competitor

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City CHATTANOOGA
Zip Code 37421

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Dataset Information

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.

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