CORRY TRANAS MAZERAC (NPI# 1891720470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891720470 |
Entity Type | Individual |
Full Name | CORRY TRANAS MAZERAC |
Other Name | CORRY L RAY |
Credential | FNP-BC |
Practice Address |
3950 New Covington Pike Suite 110 Memphis TN 38128 |
Mailing Address |
3950 New Covington Pike Ste 110 Memphis TN 38128-2595 |
Practice Telephone | 9013872900 |
Practice Fax Number | 9013841645 |
Mailing Telephone | 9013872900 |
Mailing Fax Number | 9013841645 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2018-08-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7756 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1518458 | 05 |
Street Address |
3950 NEW COVINGTON PIKE SUITE 110 |
City | MEMPHIS |
State | TN |
Zip Code | 38128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437148293 | Omar O Hamze | Specialist | 3950 New Covington Pike, Suite 300, Memphis, TN 38128-2591 | 2005-10-14 |
1942740014 | Nicholas William Marx | Nurse Practitioner | 3950 New Covington Pike, Suite 220, Memphis, TN 38128-2591 | 2017-03-08 |
1306394630 | Judiann Mcniff Jones | Psychologist | 3950 New Covington Pike, Memphis, TN 38128-2591 | 2016-09-15 |
1003205857 | Chastity H Heath | Registered Nurse | 3950 New Covington Pike, Suite 220, Memphis, TN 38128-2595 | 2015-01-16 |
1841538147 | Mark Abi Nader | Internal Medicine | 3950 New Covington Pike, Suite 300, Memphis, TN 38128 | 2013-01-21 |
1194022533 | Erin Empting Ortiz | Nurse Practitioner | 3950 New Covington Pike, 130, Memphis, TN 38128-2591 | 2011-02-22 |
1629370648 | North Memphis Medical Clinic | Clinic/Center | 3950 New Covington Pike, Suite # 130, Memphis, TN 38128-2591 | 2010-11-23 |
1962734988 | Karen Kimberley Reames | Nurse Practitioner | 3950 New Covington Pike, Suite 300, Memphis, TN 38128-2591 | 2010-02-01 |
1154585081 | Kidney Care Consultants, P.C. | Specialist | 3950 New Covington Pike, Suite 300, Memphis, TN 38128-2591 | 2008-07-10 |
1528239464 | Elizabeth White | Nurse Practitioner | 3950 New Covington Pike, Ste 300, Memphis, TN 38128-2591 | 2008-03-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
Find all providers in zip 38128 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
1245837533 | Sandra Dee Garrison | Nurse Practitioner | 335 Lillian Dr, Memphis, TN 38109-4431 | 2020-10-08 |
1972119527 | Oneka E Poindexter | Nurse Practitioner | 86 N Rembert St, Memphis, TN 38104-2766 | 2020-09-18 |
1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
1346869187 | Tollaria Williams | Nurse Practitioner | 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 | 2020-04-12 |
1497388912 | Michelle Denise Jones | Nurse Practitioner | 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 | 2020-02-13 |
1336781657 | J Wilson Health LLC | Nurse Practitioner | 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 | 2019-10-09 |
1265081574 | Natalie Staten | Nurse Practitioner | 7651 Shelby Forest Cv, Memphis, TN 38125-2822 | 2019-09-09 |
1881247740 | Mekeilah Nevaun Johnson | Nurse Practitioner | 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 | 2019-07-19 |
1205488087 | Wendy Powell | Nurse Practitioner | 1407 Union Ave Ste 405, Memphis, TN 38104-3627 | 2019-07-12 |
Find all providers in MEMPHIS |
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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.