LIBBY P MASSIE (NPI# 1902929532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902929532 |
| Entity Type | Individual |
| Full Name | LIBBY P MASSIE |
| Credential | APN |
| Practice Address |
2000 Brookside Dr Third Floor Kingsport TN 37660-4627 |
| Practice Telephone | 4238575907 |
| Practice Fax Number | 4238575904 |
| Mailing Telephone | 4238575907 |
| Mailing Fax Number | 4238575904 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2014-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 12660 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3341119 | 05 | |
| KY | 7100112430 | 05 | |
| TN | RR MEDICARE | P00844325 | 01 |
| TN | RR MEDICARE | P00844330 | 01 |
| VA | 1902929532 | 05 | |
| TN | Q002696 | 05 | |
| NC | 7000630 | 05 |
| Street Address |
2000 BROOKSIDE DR THIRD FLOOR |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-4627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205825528 | Carol Ann Brown | Nurse Anesthetist, Certified Registered | 2000 Brookside Dr, Kingsport, TN 37660 | 2005-10-19 |
| 1548734338 | Jennifer Leigh Johnson | Nurse Practitioner | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2019-01-15 |
| 1730628785 | Amanda Genco | Clinical Nurse Specialist | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2017-02-22 |
| 1669918314 | Blue Ridge Medical Management Corporation | Hospitalist | 2000 Brookside Dr, 1st Floor Room 12, Kingsport, TN 37660-4627 | 2017-01-18 |
| 1134585326 | Michael John May | Nurse Practitioner | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2016-01-05 |
| 1386039006 | Susan Netherland | Occupational Therapist | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2015-03-31 |
| 1467859066 | Ariel Rockett | Physical Therapist | 2000 Brookside Dr, Kingsport, TN 37660 | 2014-11-25 |
| 1881097913 | Randi Teaster | Nurse Practitioner | 2000 Brookside Dr, 3rd Floor, Kingsport, TN 37660-4627 | 2014-10-03 |
| 1043627441 | Valley Ridge Emergency Physicians, LLP | Emergency Medicine | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2014-07-17 |
| 1184053472 | Madonna Lin Banks | Registered Nurse | 2000 Brookside Dr, 3rd Floor, Kingsport, TN 37660-4627 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730711029 | Logan Elliott | Nurse Practitioner | 1330 Riverbend Dr Apt 104, Kingsport, TN 37664-4096 | 2020-02-05 |
| 1760950828 | Hannah M Madill | Nurse Practitioner | 8 Sheridan Sq Ste 110, Kingsport, TN 37660-7484 | 2018-11-07 |
| 1235624172 | Alisha Lyons | Nurse Practitioner | 1780 Jared Dr, Kingsport, TN 37660-5536 | 2018-06-23 |
| 1437663283 | Angela Dawn Plummer | Nurse Practitioner | 2020 Brookside Dr Ste 20, Kingsport, TN 37660-4658 | 2017-11-30 |
| 1609123108 | Aimee Elizabeth Light | Nurse Practitioner | 415 Broad Street, Ste 410, Kingsport, TN 37660-4264 | 2012-08-14 |
| 1821229915 | Rhonda Ragsdale | Nurse Practitioner | 105 West Stone Dr., Ste: 2a, Kingsport, TN 37660 | 2009-08-06 |
| 1730294042 | Chanda Mcelyea | Nurse Practitioner | 1700 Pinebrook Dr, Kingsport, TN 37660-4365 | 2006-08-20 |
| 1346208121 | Melanie S Martino | Nurse Practitioner | 3 Sheridan Sq, Kingsport, TN 37660-7390 | 2006-05-02 |
| 1245226737 | Rebecca Jane Hamilton | Nurse Practitioner | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4657 | 2005-09-21 |
| 1851394589 | Kristi Cook | Nurse Practitioner | 2212 N John B Dennis Hwy Ste 1, Kingsport, TN 37660-5895 | 2005-05-27 |
| Find all providers in KINGSPORT | ||||
Please comment or provide details below to improve the information on LIBBY P MASSIE.
| 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.