| Matthew Walker Comprehensive Health Center, Inc | |
|
1035 14th Ave N Nashville TN 37208 | |
| (615) 327-9400 | |
| Not Available |
| Full Name | Matthew Walker Comprehensive Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1035 14th Ave N, Nashville, Tennessee |
| Authorized Official Name and Position | Katina R Beard (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6153279400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Walker Comprehensive Health Center, Inc 1035 14th Avenue North Nashville TN 37208-3050 Ph: (615) 340-1292 | Matthew Walker Comprehensive Health Center, Inc 1035 14th Ave N Nashville TN 37208 Ph: (615) 327-9400 |
| NPI Number | 1356405278 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 02/25/2022 |
| Medicare PECOS PAC ID | 4082691456 |
|---|---|
| Medicare Enrollment ID | O20040702000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356405278 | NPI | - | NPPES |
| 4410217 | Other | TN | NABP |
| 3340187 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Keith E Junior |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811911449 PECOS PAC ID: 0446295406 Enrollment ID: I20050621001029 |
| Provider Name | Vernita A Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003895640 PECOS PAC ID: 1052325339 Enrollment ID: I20060126000376 |
| Provider Name | Ida Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790848620 PECOS PAC ID: 8729168521 Enrollment ID: I20080107000410 |
| Provider Name | Damaris M Olagundoye |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417192816 PECOS PAC ID: 2769533512 Enrollment ID: I20090708000035 |
| Provider Name | Shondell V Hickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366767550 PECOS PAC ID: 1355510926 Enrollment ID: I20110816000766 |
| Provider Name | Shaniqua S Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932514197 PECOS PAC ID: 8527289628 Enrollment ID: I20141014001163 |
| Provider Name | Pamela L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356665939 PECOS PAC ID: 3476775230 Enrollment ID: I20141111000647 |
| Provider Name | John Wahba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376093955 PECOS PAC ID: 6800179698 Enrollment ID: I20170201000565 |
| Provider Name | Robyn D Mays |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780812164 PECOS PAC ID: 7315259124 Enrollment ID: I20180611002816 |
| Provider Name | Zoe Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982194007 PECOS PAC ID: 0941553770 Enrollment ID: I20181025000150 |
| Provider Name | Jennifer Marie Cooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942757042 PECOS PAC ID: 2264786441 Enrollment ID: I20181107002623 |
| Provider Name | Laura Franklin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699158204 PECOS PAC ID: 3870832090 Enrollment ID: I20190306002013 |
| Provider Name | Angela Ross |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124004098 PECOS PAC ID: 9436490927 Enrollment ID: I20190410001696 |
| Provider Name | Kinara T Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285300269 PECOS PAC ID: 3476944901 Enrollment ID: I20211216002903 |
| Provider Name | Temicka Logan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1235584913 PECOS PAC ID: 3274926852 Enrollment ID: I20220202002190 |
| Provider Name | Emily Germer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265104103 PECOS PAC ID: 3971997784 Enrollment ID: I20220221001844 |
| Provider Name | Christian Sewinet Nega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679260673 PECOS PAC ID: 9830547496 Enrollment ID: I20231121002036 |
| Provider Name | Lauren Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689833790 PECOS PAC ID: 3870731128 Enrollment ID: I20231210000031 |
| Provider Name | Kelsey Lashae' Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285408500 PECOS PAC ID: 8123479763 Enrollment ID: I20240109001094 |
| Provider Name | Ashley Charice Mcgowan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699269563 PECOS PAC ID: 2769835289 Enrollment ID: I20240131001773 |
| Provider Name | Cynthia Darleen Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730361312 PECOS PAC ID: 6608219704 Enrollment ID: I20240206001412 |
| Provider Name | Carlisha Symia Moragne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124733340 PECOS PAC ID: 1254775398 Enrollment ID: I20240216003158 |
| Provider Name | Michael A Kuol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578331344 PECOS PAC ID: 5092057737 Enrollment ID: I20240305002569 |
| Provider Name | Robin Hopkins-wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386275741 PECOS PAC ID: 5597195537 Enrollment ID: I20240325002356 |
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