BRIANNA DEWEESE LUNDY (NPI# 1972085850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972085850 |
| Entity Type | Individual |
| Full Name | BRIANNA DEWEESE LUNDY |
| Credential | FNP |
| Practice Address |
14724 Highway 15 N Louisville MS 39339-6318 |
| Practice Telephone | 6627737500 |
| Practice Fax Number | 6627735187 |
| Mailing Telephone | 6627737500 |
| Mailing Fax Number | 6627735187 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
902742 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01828592 | 05 |
| Street Address |
14724 HIGHWAY 15 N |
| City | LOUISVILLE |
| State | MS |
| Zip Code | 39339-6318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114912680 | James Glenn Peters | Family Medicine | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2005-09-12 |
| 1851905137 | Shelby Reeves | Nurse Practitioner | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2020-09-03 |
| 1598263709 | Casey Devaughn Fleming | Nurse Practitioner | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2018-01-23 |
| 1205355765 | Jessica Clark Mills | Nurse Practitioner | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2017-09-15 |
| 1538555347 | Choctaw Regional Medical Center | Family Medicine | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2015-04-08 |
| 1851781611 | Pamela Metts | Nurse Practitioner | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2015-02-02 |
| 1346337920 | Cynthia Harrington | Nurse Practitioner | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2006-10-06 |
| 1184675134 | Jan Sullivan Randle | Nurse Practitioner | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2006-05-15 |
| 1598716573 | Valerie O'briant Sullivan | Nurse Practitioner | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2006-05-13 |
| 1497705453 | Samuel Keith Suttle | Family Medicine | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149573 | Thomas Cefalu | Pharmacist | 16575 E Main St, Louisville, MS 39339 | 2019-11-19 |
| 1720506371 | Jennifer Marie Burns | Physical Therapist | 110 N Walmart Drive Suite F, Louisville, MS 39339 | 2017-09-05 |
| 1326409335 | Courtney Nicole Shaw | Speech-Language Pathologist | 316 Rocky Hill Road, Louisville, MS 39339 | 2016-03-18 |
| 1033598503 | Winston Medical Clinic LLC | Clinic/Center | 16569 W Main St, Louisville, MS 39339 | 2015-05-29 |
| 1689969735 | Adam C Byrd | Dermatology | 313 N Court Ave, Ummc Dermatology - Louisville Clinic, Louisville, MS 39339 | 2011-06-16 |
| 1356587208 | Louisville Healthcare LLC | Skilled Nursing Facility | 543 East Main Street, Louisville, MS 39339 | 2008-12-24 |
| 1699935908 | Stephen Eugene Hunter | Emergency Medicine | 100 Ellie Smith Rd, Louisville, MS 39339 | 2008-06-10 |
| 1669566279 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 17220 E Main St Ste C, Louisville, MS 39339 | 2006-10-03 |
| 1184737017 | Louisville Eye Care | Optometrist | 500 North Church, Louisville, MS 39339 | 2006-08-16 |
| 1679583249 | Raymond John Orgler | Surgery | 547 E. Main St, Louisville, MS 39339 | 2006-08-08 |
| Find all providers in zip 39339 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 39339 |
Please comment or provide details below to improve the information on BRIANNA DEWEESE LUNDY.
| 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.