DERRICK MEADOW (NPI# 1992338719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992338719 |
| Entity Type | Individual |
| Full Name | DERRICK MEADOW |
| Credential | APRN, PMHNP-BC, CNL |
| Practice Address |
8130 Country Village Dr Ste 103 Cordova TN 38016-2087 |
| Mailing Address |
58 Timber Creek Dr Cordova TN 38018-4233 |
| Practice Telephone | 9013082915 |
| Practice Fax Number | 9013082924 |
| Mailing Telephone | 9013263133 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
903854 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8130 COUNTRY VILLAGE DR STE 103 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38016-2087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886872 | Megan Scott Bolton | Physical Therapist | 8110 Cordova Road Suite 107, Cordova, TN 38016 | 2020-06-23 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1376195842 | Robert Cody Heismann | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016 | 2019-07-15 |
| 1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
| 1255776886 | Suzanne Elaine Baker | Family Medicine | 2257 North Germantown Parkway, Memphis, TN 38016 | 2013-05-09 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1114186624 | Rebecca L Bills | Optometrist | 1795 N Germantown Pkwy, Cordova, TN 38016 | 2008-06-09 |
| 1679784128 | Linda Kay Yates | Emergency Medicine | 1401 Dexter Lane, Cordova, TN 38016 | 2007-05-25 |
| 1417168386 | Healthquest | Psychiatry & Neurology | 58 Timber Creek, Cordova, TN 38016 | 2007-05-24 |
| 1114079795 | Barbara T Henking | Psychologist | 8134 Country Village, #102, Cordova, TN 38016 | 2007-01-17 |
| Find all providers in zip 38016 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679101190 | Asparkle Inclusive Care, LLC | Nurse Practitioner | 1204 N Houston Levee Rd Ste 115, Cordova, TN 38018-6687 | 2020-03-30 |
| 1538627781 | Hortense K Bissila | Nurse Practitioner | 1750 Lichfield Ct, Cordova, TN 38016-3561 | 2019-03-06 |
| 1982154936 | Kristin Kathleen Stewart | Nurse Practitioner | 154 Timber Creek Dr Ste 2, Cordova, TN 38018-4252 | 2016-10-13 |
| 1376658062 | Lisa Drewry Williams | Nurse Practitioner | 8316 Macon Ter, Ste 103, Cordova, TN 38018-8505 | 2006-08-20 |
| 1942315627 | Richard Dean Sykes | Nurse Practitioner | 8289 Cordova Rd Ste 106, Cordova, TN 38016-2090 | 2006-08-20 |
| 1558394395 | Kimberly Hatler | Nurse Practitioner | 1660 Bonnie Ln, Suite 105, Cordova, TN 38016-0518 | 2006-07-07 |
| 1164417127 | Mark Allen Hesselrode | Nurse Practitioner | 8289 Cordova Rd #106, Cordova, TN 38016 | 2005-09-15 |
| 1558960310 | Emily Pecaitis | Nurse Practitioner | 8336 Macon Rd, Cordova, TN 38018-8554 | 2020-10-22 |
| 1114565538 | Lashandra Nicole Saulsberry | Nurse Practitioner | 36 Bazeberry Rd, Cordova, TN 38018-7754 | 2019-12-16 |
| 1083269401 | Kendra Powers Hooper | Nurse Practitioner | 8336 Macon Rd, Cordova, TN 38018-8554 | 2019-08-02 |
| Find all providers in CORDOVA | ||||
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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.