PHYLLIS EGBERT (NPI# 1952498065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952498065 |
| Entity Type | Individual |
| Full Name | PHYLLIS EGBERT |
| Credential | APRN |
| Practice Address |
311 Landrum Pl Suite 100 Clarksville TN 37043-6319 |
| Practice Telephone | 9312452090 |
| Practice Fax Number | 9312452091 |
| Mailing Telephone | 9312452090 |
| Mailing Fax Number | 9312452091 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2008-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APN05514 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
311 LANDRUM PL SUITE 100 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-6319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235242637 | Julie A Strey | Specialist/Technologist | 311 Landrum Pl, Suite 600, Clarksville, TN 37043-6319 | 2006-08-17 |
| 1912452590 | Dixie Pharmacy-3 LLC | Pharmacy | 311 Landrum Pl, Suite 600-a, Clarksville, TN 37043-6319 | 2016-08-24 |
| 1235515206 | Pedro T. Salcedo, M.d.,plc | Point of Service | 311 Landrum Pl, Suite 200, Clarksville, TN 37043-6319 | 2015-07-31 |
| 1275934895 | Terry S Holt | Nurse Practitioner | 311 Landrum Pl, Suite 700, Clarksville, TN 37043-6319 | 2014-09-15 |
| 1851728430 | Kca Neurology, Pllc | Specialist | 311 Landrum Pl, Suite B400, Clarksville, TN 37043-6319 | 2013-09-27 |
| 1366798951 | Pamela Ashburn | Nurse Practitioner | 311 Landrum Pl, Suite A500, Clarksville, TN 37043-6319 | 2012-08-01 |
| 1982999694 | Denise Renee Tittle | Family Medicine | 311 Landrum Pl, Clarksville, TN 37043-6319 | 2011-06-10 |
| 1588857437 | Cardiology Associates LLC | Internal Medicine | 311 Landrum Pl, Suite 100, Clarksville, TN 37043-6319 | 2007-08-23 |
| 1144433376 | John K. Endsley, Md, PC | Internal Medicine | 311 Landrum Pl, Suite 100, Clarksville, TN 37043-6319 | 2007-05-07 |
| 1831262385 | Jatin K Kadakia | Anesthesiology | 311 Landrum Pl, Suite 700, Clarksville, TN 37043 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811529118 | Michelle Filomena Grise | Nurse Practitioner | 1466 Tiny Town Rd, Clarksville, TN 37042-8291 | 2020-02-05 |
| 1154615862 | Marcella Anne Handley | Nurse Practitioner | 2428 Wire Rd, Clarksville, AR 72830-8002 | 2011-05-31 |
| 1497313118 | Allison G Schuh | Nurse Practitioner | 900 Professional Park Dr, Clarksville, TN 37040-5244 | 2019-05-29 |
| 1780181263 | Allison Bledsoe | Nurse Practitioner | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2018-04-10 |
| 1548615552 | Primary Care Plus | Nurse Practitioner | 291 Clear Sky Ct, B, Clarksville, TN 37043-5951 | 2016-04-27 |
| 1306163654 | Katherine Stevens Morris | Nurse Practitioner | 132 Hillcrest Dr, Clarksville, TN 37043-5000 | 2010-04-27 |
| 1992725105 | Katharine C Vachon | Nurse Practitioner | 291 Clear Sky Ct, Ste B, Clarksville, TN 37043-5951 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
| 1063034429 | Jared Garrison | Nurse Practitioner | 700 Harbor Edge Dr Apt 102, Memphis, TN 38103-5840 | 2020-05-08 |
| 1548893472 | Caroline Kelly Pigford | Nurse Practitioner | 5737 Sarah Dr, Ooltewah, TN 37363-6465 | 2020-02-19 |
| 1447883343 | Jennifer Leigh Slater | Nurse Practitioner | 109 Williamsburg Blvd, Tullahoma, TN 37388-5412 | 2020-02-19 |
| 1902445935 | Brad Harrell, Dnp LLC | Nurse Practitioner | 233 Lackey Ln, Ripley, TN 38063-1619 | 2019-12-20 |
| 1861039612 | Teresa Hea Brown | Nurse Practitioner | 180 Melodie Cir, Henderson, TN 38340-3628 | 2019-11-27 |
| 1962044883 | Seph Kestner | Nurse Practitioner | 1215 21st Ave S Fl Mce5, Nashville, TN 37232-0014 | 2019-10-11 |
| 1003457409 | Leven Ward | Nurse Practitioner | 250 Hartfield Dr, Medina, TN 38355-8941 | 2019-10-07 |
| 1619527124 | Amelia Hoyt Laws | Nurse Practitioner | Vanderbilt University Medical Center 1211, Nashville, TN 37232-0001 | 2019-09-17 |
| 1306493887 | Amber Nicole Madison | Nurse Practitioner | 2002 Court Ave, Memphis, TN 38104-2703 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
Please comment or provide details below to improve the information on PHYLLIS EGBERT.
| 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.