Monogram Health Professional Services Pc | |
5410 Maryland Way Ste 400 Brentwood TN 37027-8087 | |
(615) 673-4455 | |
(615) 432-4651 |
Full Name | Monogram Health Professional Services Pc |
---|---|
Speciality | Internal Medicine |
Location | 5410 Maryland Way Ste 400, Brentwood, Tennessee |
Authorized Official Name and Position | Shawn Verner (GENERAL COUNSEL AND SECRETARY) |
Authorized Official Contact | 6159941889 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Monogram Health Professional Services Pc 5410 Maryland Way Ste 400 Brentwood TN 37027-8087 Ph: (615) 673-4455 | Monogram Health Professional Services Pc 5410 Maryland Way Ste 400 Brentwood TN 37027-8087 Ph: (615) 673-4455 |
NPI Number | 1134739089 |
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Provider Enumeration Date | 08/05/2020 |
Last Update Date | 06/27/2024 |
Medicare PECOS PAC ID | 4880004183 |
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Medicare Enrollment ID | O20201027002061 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134739089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
Provider Name | Karen C Beets |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457470015 PECOS PAC ID: 0345201653 Enrollment ID: I20041020000889 |
Provider Name | Clarrissa E Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346296563 PECOS PAC ID: 8325055270 Enrollment ID: I20060317000058 |
Provider Name | Laura Bethany Hardcastle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699961144 PECOS PAC ID: 3870675838 Enrollment ID: I20080129000726 |
Provider Name | Cheryl Clayton |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1114979184 PECOS PAC ID: 5799720801 Enrollment ID: I20080818000745 |
Provider Name | Jannah R Branch-smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598953952 PECOS PAC ID: 1658565981 Enrollment ID: I20101101000902 |
Provider Name | Shawanda F Motlow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710290416 PECOS PAC ID: 9133308869 Enrollment ID: I20110126000747 |
Provider Name | Elizabeth Gager |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144512294 PECOS PAC ID: 6800073925 Enrollment ID: I20110526000642 |
Provider Name | Anisa Nayeem |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1205922606 PECOS PAC ID: 6507866407 Enrollment ID: I20110729000123 |
Provider Name | Lida E Mohammadkhah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205137569 PECOS PAC ID: 8628238839 Enrollment ID: I20120327000021 |
Provider Name | Katherine Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205101110 PECOS PAC ID: 1254594955 Enrollment ID: I20120516000354 |
Provider Name | Susan Bell |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1336285873 PECOS PAC ID: 7517122013 Enrollment ID: I20120709000334 |
Provider Name | Elizabeth A Wilder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649603135 PECOS PAC ID: 0749413714 Enrollment ID: I20140428000484 |
Provider Name | Kysha R Saleem-matthews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245643246 PECOS PAC ID: 8527288067 Enrollment ID: I20141003000580 |
Provider Name | Janice L Callahan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003224155 PECOS PAC ID: 8729209515 Enrollment ID: I20141020002075 |
Provider Name | Rebecca A Martens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760899645 PECOS PAC ID: 6800018813 Enrollment ID: I20141106001491 |
Provider Name | Windy Demoura |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578971263 PECOS PAC ID: 3476775362 Enrollment ID: I20141108000151 |
Provider Name | Diana Dillehay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841618030 PECOS PAC ID: 8628392784 Enrollment ID: I20150120000663 |
Provider Name | Kimberly Vann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699170019 PECOS PAC ID: 1456662469 Enrollment ID: I20150617002127 |
Provider Name | Leslie A Stucker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861879496 PECOS PAC ID: 6800108002 Enrollment ID: I20150630002905 |
Provider Name | Laura Cummings-payne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144578634 PECOS PAC ID: 1153631437 Enrollment ID: I20151117002357 |
Provider Name | Adrienne R Clagett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972842094 PECOS PAC ID: 0840435970 Enrollment ID: I20151209000805 |
Provider Name | Kimberly Bradd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285028183 PECOS PAC ID: 4486955515 Enrollment ID: I20151215001809 |
Provider Name | Porsha N Bonds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689043036 PECOS PAC ID: 8426350299 Enrollment ID: I20160111002210 |
Provider Name | Letoya Franklin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679930937 PECOS PAC ID: 5496050072 Enrollment ID: I20160218001891 |
Provider Name | Emily D Khansari |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992176408 PECOS PAC ID: 9234434606 Enrollment ID: I20160223000752 |
Provider Name | Casey Erin Ingle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366786428 PECOS PAC ID: 3870890221 Enrollment ID: I20160330000104 |
Provider Name | Corey B Konemann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043674930 PECOS PAC ID: 1052610623 Enrollment ID: I20160503001600 |
Provider Name | April Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558649723 PECOS PAC ID: 9739478413 Enrollment ID: I20160519000932 |
Provider Name | Sarah M Pearl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215206925 PECOS PAC ID: 0143500611 Enrollment ID: I20161130000203 |
Provider Name | Katherine Cummings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578097390 PECOS PAC ID: 6901173673 Enrollment ID: I20170531000528 |
Provider Name | Alisha D Kimber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619417714 PECOS PAC ID: 1850664186 Enrollment ID: I20170907001694 |
Provider Name | Pamela Lane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780106328 PECOS PAC ID: 2365717709 Enrollment ID: I20171010003475 |
Provider Name | Patricia Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619495819 PECOS PAC ID: 9830465467 Enrollment ID: I20171025002647 |
Provider Name | Britney N Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225573561 PECOS PAC ID: 3072897545 Enrollment ID: I20180531001671 |
Provider Name | Mark D Byun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437659414 PECOS PAC ID: 0345505657 Enrollment ID: I20180606003284 |
Provider Name | Latasha Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326589318 PECOS PAC ID: 6608123518 Enrollment ID: I20180724002284 |
Provider Name | Elizabeth Russell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245779263 PECOS PAC ID: 3779837653 Enrollment ID: I20181112002370 |
Provider Name | Sarah Dodson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679080022 PECOS PAC ID: 4385989854 Enrollment ID: I20190812002343 |
Provider Name | Janna Haskins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881238533 PECOS PAC ID: 5799111282 Enrollment ID: I20200131000535 |
Provider Name | Cassidy Belew |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548827223 PECOS PAC ID: 1759717168 Enrollment ID: I20200203002523 |
Provider Name | Michelle Sonnichsen-kumm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821610668 PECOS PAC ID: 7113347105 Enrollment ID: I20201013001424 |
Provider Name | Meagan Pilleteri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770107518 PECOS PAC ID: 7719390343 Enrollment ID: I20201228002376 |
Provider Name | Kathleen Appling Tidwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700490166 PECOS PAC ID: 6406261692 Enrollment ID: I20210222000908 |
Provider Name | Michelle Schivers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942898408 PECOS PAC ID: 2860882271 Enrollment ID: I20211129001370 |
Provider Name | Julie D Horton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164830543 PECOS PAC ID: 3375763287 Enrollment ID: I20211210000717 |
Provider Name | Sandhya Kommana |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1619185519 PECOS PAC ID: 7315018439 Enrollment ID: I20211215002167 |
Provider Name | Dylan Lempp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346915790 PECOS PAC ID: 6103217567 Enrollment ID: I20211220002461 |
Provider Name | Leslie Carnahan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801092424 PECOS PAC ID: 0244464980 Enrollment ID: I20220104000131 |
Provider Name | Catherine Pantik |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831685437 PECOS PAC ID: 2567854789 Enrollment ID: I20220120002859 |
Provider Name | Michelle Lee Sloan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083117329 PECOS PAC ID: 0042602021 Enrollment ID: I20220125001614 |
Provider Name | Lubna Aslam Rashid |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1760626337 PECOS PAC ID: 9739374851 Enrollment ID: I20220208000373 |
Provider Name | Jaydra Woods |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114319977 PECOS PAC ID: 5890014633 Enrollment ID: I20220208001728 |
Provider Name | Pinky Patel |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1336382480 PECOS PAC ID: 7113235847 Enrollment ID: I20220211001493 |
Provider Name | Mindy Banks |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1679765309 PECOS PAC ID: 4587880844 Enrollment ID: I20220211001611 |
Provider Name | Kayla Judd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346905072 PECOS PAC ID: 1850784877 Enrollment ID: I20220215000608 |
Provider Name | Bethune Grindley |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1992130983 PECOS PAC ID: 4880939461 Enrollment ID: I20220222001731 |
Provider Name | Carrie R Hyde |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1114260726 PECOS PAC ID: 1658696307 Enrollment ID: I20220223001376 |
Provider Name | Noel Meikle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053887554 PECOS PAC ID: 7315278611 Enrollment ID: I20220301001721 |
Provider Name | Angelette Sykes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528599602 PECOS PAC ID: 1153714787 Enrollment ID: I20220404000642 |
Provider Name | Christopher Pile |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1447367057 PECOS PAC ID: 4981671104 Enrollment ID: I20220427000105 |
Provider Name | Kavita Kakkad Wei |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1548515505 PECOS PAC ID: 1052623857 Enrollment ID: I20220506000034 |
Provider Name | Venkatasubramanian Srinivasan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841273729 PECOS PAC ID: 8820078454 Enrollment ID: I20220603002581 |
Provider Name | Zakiya Aubreyon Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932847894 PECOS PAC ID: 9436530508 Enrollment ID: I20220720002782 |
Provider Name | Aliasger Ali |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1538696984 PECOS PAC ID: 5597156083 Enrollment ID: I20220817001743 |
Provider Name | Hermance Fortune |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053896654 PECOS PAC ID: 4688918097 Enrollment ID: I20220901000836 |
Provider Name | Sharmila Devidoss |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1124169396 PECOS PAC ID: 1557684503 Enrollment ID: I20220914002870 |
Provider Name | Samantha Yearwood |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1932850427 PECOS PAC ID: 4284000852 Enrollment ID: I20221024000040 |
Provider Name | Ricardo Rodriguez-santos |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1275932204 PECOS PAC ID: 3274801600 Enrollment ID: I20221031000294 |
Provider Name | Channien Lanet Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063991677 PECOS PAC ID: 1052781655 Enrollment ID: I20221222001652 |
Provider Name | Ina Vate |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467963942 PECOS PAC ID: 0547515454 Enrollment ID: I20230127001562 |
Provider Name | Sahar Semnani |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1568985737 PECOS PAC ID: 4486927233 Enrollment ID: I20230201003450 |
Provider Name | Rashmi Bisla |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1265758635 PECOS PAC ID: 0143531871 Enrollment ID: I20230224000388 |
Provider Name | Zahily Fals |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1598078115 PECOS PAC ID: 6103121520 Enrollment ID: I20230424002919 |
Provider Name | Teresa Vinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841863156 PECOS PAC ID: 9931564085 Enrollment ID: I20230425002667 |
Provider Name | Lisa Marie Tramposh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174589923 PECOS PAC ID: 5395747687 Enrollment ID: I20230602000738 |
Provider Name | Simarjit Dhaliwal |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1255485900 PECOS PAC ID: 2264539188 Enrollment ID: I20230808000739 |
Provider Name | Sudhanshu Jain |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1720287295 PECOS PAC ID: 4486749967 Enrollment ID: I20230824003312 |
Provider Name | Laura Tharpe |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1093031460 PECOS PAC ID: 0244684348 Enrollment ID: I20230922002538 |
Provider Name | Sara Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912914185 PECOS PAC ID: 3779520705 Enrollment ID: I20230929001891 |
Provider Name | Meliha Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346779410 PECOS PAC ID: 1850663725 Enrollment ID: I20240510000871 |
Provider Name | Emily Omari |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891338026 PECOS PAC ID: 0749628998 Enrollment ID: I20240516000426 |
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