Tay Angell Nielsen (NPI# 1083824270, PAC ID# 5991099251) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1083824270 |
| PAC ID by PECOS | 5991099251 |
| Professional Enrollment ID | I20180111002008 |
| Full Name | Tay Angell Nielsen |
| Organization Legal Name | PRIMESOURCE NURSING SERVICES, INC |
| Address |
1500 Broad Ave Gulfport MS 39501-3601 |
| Phone Number | 2288651330 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7113966037 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1500 Broad Ave, Gulfport, MS 39501-3601 | 2288651330 | PRIMESOURCE NURSING SERVICES, INC |
| Organization Legal Name | PRIMESOURCE NURSING SERVICES, INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Caruso | Clinical Psychologist | Primesource Nursing Services, Inc | 38 Pass Rd A, Gulfport, MS 39507-3107 |
| Eurieka Denise Shumpert | Nurse Practitioner | Primesource Nursing Services, Inc | 370 Courthouse Rd, Suite 106, Gulfport, MS 39507-1889 |
| Tonette Harris-haynes | Nurse Practitioner | Primesource Nursing Services, Inc | 370 Courthouse Rd, Suite 106, Gulfport, MS 39507-1889 |
| Stella Jeanine Hults | Nurse Practitioner | Primesource Nursing Services, Inc | 370 Courthouse Rd, Suite 106, Gulfport, MS 39507-1889 |
| Chastity Quayondra Sims | Nurse Practitioner | Primesource Nursing Services, Inc | 370 Courthouse Rd, Suite 106, Gulfport, MS 39507-1889 |
| Teraty Hudson | Nurse Practitioner | Primesource Nursing Services, Inc | 370 Courthouse Rd, Suite 106, Gulfport, MS 39507-1889 |
| Gayle E Hamilton | Nurse Practitioner | Primesource Nursing Services, Inc | 370 Courthouse Rd, Suite 106, Gulfport, MS 39507-1889 |
| Jennifer S Brechtel | Nurse Practitioner | Primesource Nursing Services, Inc | 370 Courthouse Rd, Suite 106, Gulfport, MS 39507-1889 |
| Mary Speyrer | Nurse Practitioner | Primesource Nursing Services, Inc | 370 Courthouse Rd, Suite 106, Gulfport, MS 39507-1889 |
| Roger Hoyel Reed | Emergency Medicine | Primesource Nursing Services, Inc | 370 Courthouse Rd, Suite 106, Gulfport, MS 39507-1889 |
| Street Address |
1500 BROAD AVE |
| City | GULFPORT |
| State | MS |
| Zip | 39501-3601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason V Smith | Otolaryngology | 3017 13th St, Gulfport, MS 39501-1833 | |
| Samuel Robinson | Otolaryngology | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 3017 13th St, Gulfport, MS 39501-1833 |
| Gregory K Meekin | Otolaryngology | 1201 31st Ave, Gulfport, MS 39501-1847 | |
| Melissa K Rounsaville | Qualified Audiologist | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 1201 31st Ave, Gulfport, MS 39501-1847 |
| Carla Ann Rushing | Nurse Practitioner | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Mario A Nievas | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| James K Campbell | Gastroenterology | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Lauren Hitt | Nurse Practitioner | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Stephanie Fussell | Medical Oncology | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Christopher Jones | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Find all physicians in zip 39501 | |||
| City | GULFPORT |
| Zip Code | 39501 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | GULFPORT + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.