JENNIFER C. LANDIS (NPI# 1790192797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790192797 |
| Entity Type | Individual |
| Full Name | JENNIFER C. LANDIS |
| Credential | PA-C |
| Practice Address |
310 25th Ave N Ste 100 Nashville TN 37203-1515 |
| Practice Telephone | 6153216100 |
| Practice Fax Number | 8776634069 |
| Mailing Telephone | 6153216100 |
| Mailing Fax Number | 8776634069 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 2515 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2515 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2515 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q007422 | 05 | |
| KY | 7100467800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 330 23rd Ave N Ste 100, Nashville, TN 372036513 | 6153216100 | 6153216200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662554 | Jennifer Landis | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-02-25 |
| 1225410798 | Jennifer Caitlin Landis | Nurse Practitioner | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2015-06-22 |
| 1093194045 | Jennifer Landis | Pharmacist | 23893 Clinton Keith Rd, Wildomar, CA 92595-7894 | 2015-05-22 |
| Street Address |
310 25TH AVE N STE 100 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194724864 | Patrick C Ryan | Surgery | 310 25th Ave N Ste 100, Nashville, TN 37203-1515 | 2005-07-15 |
| 1730501677 | Nashville Vascular and Vein Institute, Pllc | Physician Assistant | 310 25th Ave N Ste 100, Nashville, TN 37203-1515 | 2014-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841690096 | Arun Alex | Physician Assistant | 7277 Charlotte Pike Unit 211, Nashville, TN 37209-5041 | 2014-08-25 |
| 1144463936 | Marcus S. Burns | Physician Assistant | 2010 Church St Ste 700, Nashville, TN 37203-2072 | 2009-04-09 |
| 1154425627 | Kevin Chalaron Barry | Physician Assistant | 203 Mason Ave Apt 6, Nashville, TN 37203-1119 | 2006-09-12 |
| 1851384473 | Timothy James Hornyak | Physician Assistant | 1310 24th Ave S, Nashville, TN 37212-2637 | 2005-08-30 |
| 1841899879 | Hughston Clinic Southeast,pc | Physician Assistant | 3443 Dickerson Pike Ste 190, Nashville, TN 37207-2533 | 2020-10-21 |
| 1891255022 | Matthew Steven Hawkins | Physician Assistant | 1912 Charlotte Ave, Nashville, TN 37203-2107 | 2019-03-22 |
| 1598231060 | Jessica Uvarov | Physician Assistant | 1912 Charlotte Ave, Nashville, TN 37203-2107 | 2018-10-22 |
| 1154863298 | Andrew Charles Cressman | Physician Assistant | 2400 Patterson St, Suite 300, Nashville, TN 37203-1562 | 2016-11-07 |
| 1174990899 | Ap of Nashville, LLC | Physician Assistant | 2000 Glen Echo Rd Ste 111, Nashville, TN 37215-2857 | 2015-08-28 |
| 1326440199 | Amanda Dreve | Physician Assistant | 3443 Dickerson Pike Ste 190, Nashville, TN 37207-2533 | 2014-09-23 |
| Find all providers in NASHVILLE | ||||
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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.