Kendra Simonds, | |
817 W Main St, Livingston, TN 38570-1721 | |
(931) 219-2091 | |
Not Available |
Full Name | Kendra Simonds |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 817 W Main St, Livingston, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346803467 | NPI | - | NPPES |
Q048358 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 25552 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 25552 (Tennessee) | Primary |
Entity Name | Cookeville Regional Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649202102 PECOS PAC ID: 8325092638 Enrollment ID: O20050309000874 |
Entity Name | Fast Pace Medical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
Mailing Address | Practice Location Address |
---|---|
Kendra Simonds, Po Box 1258, Waynesboro, TN 38485-1258 Ph: (931) 253-1110 | Kendra Simonds, 817 W Main St, Livingston, TN 38570-1721 Ph: (931) 219-2091 |
Mrs. Lillian T Robertson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 E University Street, Livingston, TN 35870 Phone: 931-403-5939 Fax: 931-403-5940 | |
Jacinda Marie Delk, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Livingston, TN 38570 Phone: 931-823-5603 Fax: 931-823-8203 | |
Gabriel Johnson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Livingston, TN 38570 Phone: 931-823-4016 | |
Sherri C Depriest, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 521 Medical Dr, Livingston, TN 38570 Phone: 931-823-5603 Fax: 931-403-0574 | |
Rebecca Willie Thompson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5880 Bradford Hicks Dr, Livingston, TN 38570 Phone: 931-823-6260 | |
Kelli Carr, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Livingston, TN 38570 Phone: 931-823-5681 Fax: 931-823-8203 |