Deanna A Nichols (NPI# 1750464517, PAC ID# 7810081833) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1750464517 |
PAC ID by PECOS | 7810081833 |
Professional Enrollment ID | I20070921000440 |
Full Name | Deanna A Nichols |
Organization Legal Name | LIVING WELL HEALTHCARE, LLC |
Address |
200 N Crawford St Suite 3 Tompkinsville KY 42167-1617 |
Phone Number | 2704075052 |
Gender | F |
Graduation Year | 2004 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9638339757 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150172 | PHYSICIANS' MEDICAL CENTER LLC |
180105 | MONROE COUNTY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
200 N Crawford St, Suite 3, Tompkinsville, KY 42167-1617 | 2704075052 | LIVING WELL HEALTHCARE, LLC |
200 N Crawford St, Tompkinsville, KY 42167-1617 | 2704075052 | LIVING WELL HEALTHCARE, LLC |
Organization Legal Name | LIVING WELL HEALTHCARE, LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donald J Weidler | Internal Medicine | Living Well Healthcare, LLC | 200 N Crawford St, Suite 3, Tompkinsville, KY 42167-1617 |
Chance Robertson Tyler | Nurse Practitioner | Living Well Healthcare, LLC | 200 N Crawford St, Suite 3, Tompkinsville, KY 42167-1617 |
Street Address |
200 N CRAWFORD ST SUITE 3 |
City | TOMPKINSVILLE |
State | KY |
Zip | 42167-1617 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donald J Weidler | Internal Medicine | Living Well Healthcare, LLC | 200 N Crawford St, Suite 3, Tompkinsville, KY 42167-1617 |
Chance Robertson Tyler | Nurse Practitioner | Living Well Healthcare, LLC | 200 N Crawford St, Suite 3, Tompkinsville, KY 42167-1617 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jerry N Bean | Family Medicine | 901 N Main St, Tompkinsville, KY 42167-1004 | |
Teresa L Sheffield | Nurse Practitioner | T J Health Columbia Inc | 800 N Main St, Suite B, Tompkinsville, KY 42167-1037 |
Joy R Turner | Clinical Social Worker | Lifeskills, Inc | 800 N Main St, Suite A, Tompkinsville, KY 42167-1037 |
Nicholas D Poynter | Chiropractic | 200 E 4th St, Tompkinsville, KY 42167-1611 | |
Amy L Comer | Nurse Practitioner | 452 E 4th St, Tompkinsville, KY 42167-1667 | |
Jack D Anderson | Family Medicine | Monroe Medical Foundation, Inc. | 529 Capp Harlan Rd, Tompkinsville, KY 42167-1808 |
Milton Jackson | Emergency Medicine | Monroe Medical Foundation, Inc. | 477 Capp Harlan Rd, Tompkinsville, KY 42167-1808 |
Brian C Brill | Internal Medicine | Monroe Medical Foundation, Inc. | 529 Capp Harlan Rd, Tompkinsville, KY 42167-1808 |
Jeffrey S Jones | Emergency Medicine | Monroe Medical Foundation, Inc. | 477 Capp Harlan Rd, Tompkinsville, KY 42167-1808 |
Timothy D Hume | Family Medicine | Monroe Medical Foundation, Inc. | 477 Capp Harlan Rd, Tompkinsville, KY 42167-1808 |
Find all physicians in zip 42167 |
City | TOMPKINSVILLE |
Zip Code | 42167 |
Specialty | NURSE PRACTITIONER |
City + Specialty | TOMPKINSVILLE + NURSE PRACTITIONER |
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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.