MRS. MARY BETH TILLMAN


Address: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998
Phone: 4232821480

MRS. MARY BETH TILLMAN (NPI# 1972855724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972855724
Entity Type Individual
Full Name MRS. MARY BETH TILLMAN
Credential FNP
Practice Address 119 Boone Ridge Dr
Suite 201
Johnson City
TN 37615-4998
Practice Telephone 4232821480
Practice Fax Number 4239281353
Mailing Telephone 4232821480
Mailing Fax Number 4239281353
Enumeration Date 2012-10-03
Last Update Date 2016-03-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
17057 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 1531124 05

Other Providers MARY TILLMAN

NPI Name Taxonomy Address Enumeration
1790003275 Mary H Tillman Social Worker 3500 N State Road 7 Ste 211, Lauderdale Lakes, FL 33319-5625 2010-05-09
1922180058 Mary A T Tillman Specialist 2715 Union Blvd, Saint Louis, MO 63113-2001 2006-10-19
1679583181 Mary Tillman Nurse Anesthetist, Certified Registered 1000 E Primrose St, Suite 520, Springfield, MO 65807-5154 2006-08-08

Office Location

Street Address 119 BOONE RIDGE DR
SUITE 201
City JOHNSON CITY
State TN
Zip Code 37615-4998

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639161722 Melissa Dawn Venoy Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2005-08-16
1083157788 Amy Hamilton Nurse Practitioner 119 Boone Ridge Dr, Ste 201, Johnson City, TN 37615-8000 2016-11-29
1366992851 Nikki Daniell Vaughn Registered Nurse 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2016-10-07
1790230183 Laura Casey Registered Nurse 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2016-08-16
1104277656 Ipc Pac Healthcare Services of Tennessee PC Psychologist 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2016-06-27
1487008835 Amanda Milan Smith Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2016-04-21
1083084560 Hannah Audia Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2015-09-28
1033593223 Carleen Marie Ogle Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2015-07-17
1104209675 Lindsey Townsend Elswick Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2015-07-02
1811379639 Stacey Hubbard Nurse Practitioner 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 2015-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568962983 Clayton Kilgore Pharmacist 208 Suncrest St Unit 1, Gray, TN 37615 2018-02-13
1346648268 Jesse Mullins Pharmacist 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 2014-12-09
1750650875 Medical Education Assistance Corporation Pediatrics 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 2011-12-19
1700018603 Anna Lynne Deal Nurse Practitioner 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 2009-08-11
1285876631 Leigh A Furman Occupational Therapist 253 Wiltshire Dr., Gray, TN 37615 2009-04-01
1811098908 Fay Lynn Bembry Nurse Practitioner 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 2006-09-25
1871528976 Boones Creek Medical Pllc Family Medicine 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 2006-07-11
1568402048 Joseph Vincent Pinyard Jr. Family Medicine 880 Boones Station Rd, Johnson City, TN 37615 2006-06-07
1548223084 Pitchar Theerathorn Internal Medicine 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 2006-04-07
1194717157 Susan Kay Pennypacker Nurse Practitioner 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 2005-08-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063025724 Victoria Elizabeth Mcmanus Nurse Practitioner 365 Harry L Dr Ste 110, Johnson City, NY 13790-1471 2020-08-24
1649880139 Amanda Danielle Ledford Nurse Practitioner 3 Enfield Ct, Johnson City, TN 37604-9101 2020-08-09
1861000135 Deborah L Johnson Nurse Practitioner 2 Mcgregor Pl, Johnson City, TN 37604-1454 2020-07-22
1255978417 William Mcguire Nurse Practitioner 176 Willocks Rd, Johnson City, TN 37601-6274 2019-12-06
1881248664 Caiti Riden Nurse Practitioner 316 Marketplace Dr Ste 10, Johnson City, TN 37604-2595 2019-07-30
1699330282 Courtney S Willis Nurse Practitioner 2203 N Greenwood Dr, Johnson City, TN 37604-7030 2019-05-08
1861955452 Cindy Canter Nurse Practitioner 3552 Greenwood Dr, Johnson City, TN 37604-2834 2019-04-10
1366908980 Holly Anne Parvin Nurse Practitioner 3209 W Walnut St, Johnson City, TN 37604-5949 2019-02-19
1891261376 Lindsey Toney Nurse Practitioner 980 Smalling Rd, Johnson City, TN 37601-8208 2018-10-22
1821572868 Karyn Kimberly Bruton Nurse Practitioner 1723 N Roan St, Johnson City, TN 37601-3949 2018-09-15
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37615

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Dataset Information

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.

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