BLANCHE PETTY (NPI# 1932509833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932509833 |
| Entity Type | Individual |
| Full Name | BLANCHE PETTY |
| Credential | APRN |
| Practice Address |
7205 Wolf River Blvd Suite 150 Germantown TN 38138-1758 |
| Mailing Address |
8061 Creekwood Cir W Southaven MS 38671-5431 |
| Practice Telephone | 9017254500 |
| Mailing Telephone | 9016493113 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
18870 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7205 WOLF RIVER BLVD SUITE 150 |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465482 | Brenda J Richardson | Internal Medicine | 7205 Wolf River Blvd, Ste 201, Germantown, TN 38138-1746 | 2005-05-24 |
| 1679632079 | Henry T Grizzard | Ophthalmology | 7205 Wolf River Blvd, Germantown, TN 38138 | 2006-12-08 |
| 1386735116 | Lauren L. Beavers | Nurse Practitioner | 7205 Wolf River Blvd, Suite 150, Germantown, TN 38138-1758 | 2006-09-27 |
| 1013015635 | William Thomas Rawlinson | Internal Medicine | 7205 Wolf River Blvd, Suite 100, Germantown, TN 38138-1758 | 2006-09-20 |
| 1851308258 | Kyle Patterson Martin | Obstetrics & Gynecology | 7205 Wolf River Blvd, Suite 150, Germantown, TN 38138-1758 | 2006-08-01 |
| 1760499164 | Kristi M Cole | Obstetrics & Gynecology | 7205 Wolf River Blvd, Suite 150, Germantown, TN 38138-1758 | 2006-08-01 |
| 1902831233 | The Heart and Vascular Institute Pllc | Internal Medicine | 7205 Wolf River Blvd, Ste 201, Germantown, TN 38138-1746 | 2006-07-12 |
| 1316972623 | Jerald M Duncan | Allergy & Immunology | 7205 Wolf River Blvd, Suite 200, Germantown, TN 38138-1746 | 2006-07-12 |
| 1609801000 | Tammy H Heinly Mcculley | Allergy & Immunology | 7205 Wolf River Blvd, Suite 200, Germantown, TN 38138-1746 | 2006-07-12 |
| 1477584324 | Fred T. Grogan | Allergy & Immunology | 7205 Wolf River Blvd, Suite 200, Germantown, TN 38138-1746 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801310446 | Dana Laney | Nurse Practitioner | 740 Middle Creek Rd Ste 200, Sevierville, TN 37862-5056 | 2017-07-26 |
| 1871978213 | Sarah Elizabeth Hatcher | Nurse Practitioner | 2011 Murphy Ave Ste 200, Nashville, TN 37203 | 2015-07-28 |
| 1750766382 | Emily Shaye Fitzpatrick | Nurse Practitioner | 420 College St, Lafayette, TN 37083-1750 | 2015-07-24 |
| 1750719605 | Hannah V Burke | Nurse Practitioner | 1312 Bishop Street, Union City, TN 38261 | 2013-10-30 |
| 1306146360 | Anna R Huskey | Nurse Practitioner | 1102 Foxwood Drive, Suite #1, Sevierville, TN 37862 | 2010-10-25 |
| 1730310228 | Harmony Family Health Care, LLC | Nurse Practitioner | 3401 John Mallette Dr, Nashville, TN 37218-2672 | 2009-07-31 |
| 1699811497 | Kelly Pfrommer | Nurse Practitioner | 6215 Humphreys Blvd Ste 401, Memphis, TN 38120-2382 | 2007-01-29 |
| 1164465522 | Nicole L Sandifer | Nurse Practitioner | 619 W 7th North St, Ste. F, Morristown, TN 37814-3954 | 2006-06-14 |
| 1073594263 | Stacey Kesterson | Nurse Practitioner | 1621 W Morris Blvd Ste A, Morristown, TN 37813-2967 | 2005-11-07 |
| 1609879592 | Samantha S Moody | Nurse Practitioner | 2215 Jackson Downs Blvd, Nashville, TN 37214-2300 | 2005-05-24 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
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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.