Monogram Health Professional Services Pc | |
5410 Maryland Way Ste 301 Brentwood TN 37027-5064 | |
(615) 673-4455 | |
Not Available |
Full Name | Monogram Health Professional Services Pc |
---|---|
Speciality | Internal Medicine |
Location | 5410 Maryland Way Ste 301, 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 |
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Monogram Health Professional Services Pc 5410 Maryland Way Ste 301 Brentwood TN 37027-5064 Ph: (615) 673-4455 | Monogram Health Professional Services Pc 5410 Maryland Way Ste 301 Brentwood TN 37027-5064 Ph: (615) 673-4455 |
NPI Number | 1336748300 |
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Provider Enumeration Date | 10/21/2020 |
Last Update Date | 11/17/2022 |
Medicare PECOS PAC ID | 4880004183 |
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Medicare Enrollment ID | O20201231000995 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336748300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
Provider Name | Sara Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912914185 PECOS PAC ID: 3779520705 Enrollment ID: I20050412000503 |
Provider Name | Neiel Covington Elston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669720595 PECOS PAC ID: 3971753880 Enrollment ID: I20121030000042 |
Provider Name | Jacquise L Taliaferro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275888455 PECOS PAC ID: 1557515350 Enrollment ID: I20130201000352 |
Provider Name | Urszula Polska |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669882619 PECOS PAC ID: 2961620513 Enrollment ID: I20140825000402 |
Provider Name | Tawanda Sheral Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124413661 PECOS PAC ID: 0547580227 Enrollment ID: I20150520001273 |
Provider Name | Ashley N Wagner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114395852 PECOS PAC ID: 8921307786 Enrollment ID: I20160428001350 |
Provider Name | Ashley M Self |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902254378 PECOS PAC ID: 8628361409 Enrollment ID: I20160802000176 |
Provider Name | Cynthia Renee Barrett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720537335 PECOS PAC ID: 4385924778 Enrollment ID: I20161130001621 |
Provider Name | Denesha Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922543487 PECOS PAC ID: 3274816525 Enrollment ID: I20170210000648 |
Provider Name | Britney N Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225573561 PECOS PAC ID: 3072897545 Enrollment ID: I20170228002106 |
Provider Name | Sakeena Spencer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861944233 PECOS PAC ID: 1456635861 Enrollment ID: I20170308001386 |
Provider Name | Lyle Scott Walton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841583705 PECOS PAC ID: 4880843093 Enrollment ID: I20170725003383 |
Provider Name | Christine Choquette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851894943 PECOS PAC ID: 6800145749 Enrollment ID: I20180825000042 |
Provider Name | Raegan Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316436504 PECOS PAC ID: 1052663002 Enrollment ID: I20181003000455 |
Provider Name | Karen Alanna Winters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417493305 PECOS PAC ID: 6709138662 Enrollment ID: I20181004001961 |
Provider Name | Lindsey M Gaither |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831667997 PECOS PAC ID: 1254675614 Enrollment ID: I20190118001324 |
Provider Name | Delana Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629569967 PECOS PAC ID: 5890035372 Enrollment ID: I20190320000311 |
Provider Name | Courtney Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770040941 PECOS PAC ID: 1557697653 Enrollment ID: I20190726002635 |
Provider Name | Tiffany Monique Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083180319 PECOS PAC ID: 6709114499 Enrollment ID: I20190819003236 |
Provider Name | Dana Gamel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457836330 PECOS PAC ID: 0345571386 Enrollment ID: I20191007000822 |
Provider Name | Shanita Peoples |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124659487 PECOS PAC ID: 8628406568 Enrollment ID: I20200307000154 |
Provider Name | Adrianne Crane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891264792 PECOS PAC ID: 3870924335 Enrollment ID: I20200518000215 |
Provider Name | Andrea G Esparza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174138929 PECOS PAC ID: 5092126169 Enrollment ID: I20201120000449 |
Provider Name | Shaminder Gupta |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1730183401 PECOS PAC ID: 1658322300 Enrollment ID: I20210107001830 |
Provider Name | Anganatte Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124586086 PECOS PAC ID: 4880923861 Enrollment ID: I20210212000822 |
Provider Name | Elizabeth Gager |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144512294 PECOS PAC ID: 6800073925 Enrollment ID: I20210409001052 |
Provider Name | Akeba Anjanette Vester |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861046914 PECOS PAC ID: 9234532268 Enrollment ID: I20210728000811 |
Provider Name | Ashley Croom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295396661 PECOS PAC ID: 5496183170 Enrollment ID: I20210824000273 |
Provider Name | Wyshika Gibson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245828029 PECOS PAC ID: 0143619775 Enrollment ID: I20211123002906 |
Provider Name | Pinky Patel |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1336382480 PECOS PAC ID: 7113235847 Enrollment ID: I20220211000536 |
Provider Name | Mindy Banks |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1679765309 PECOS PAC ID: 4587880844 Enrollment ID: I20220215001138 |
Provider Name | Kavita Kakkad Wei |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1548515505 PECOS PAC ID: 1052623857 Enrollment ID: I20220309002370 |
Provider Name | Leslie Carnahan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801092424 PECOS PAC ID: 0244464980 Enrollment ID: I20220325000707 |
Provider Name | Noel Meikle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053887554 PECOS PAC ID: 7315278611 Enrollment ID: I20220331000530 |
Provider Name | Lubna Aslam Rashid |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1760626337 PECOS PAC ID: 9739374851 Enrollment ID: I20220401002309 |
Provider Name | Sandhya Kommana |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1619185519 PECOS PAC ID: 7315018439 Enrollment ID: I20220404000426 |
Provider Name | Christopher Pile |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1447367057 PECOS PAC ID: 4981671104 Enrollment ID: I20220427000040 |
Provider Name | Carrie R Hyde |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1114260726 PECOS PAC ID: 1658696307 Enrollment ID: I20220429000445 |
Provider Name | Venkatasubramanian Srinivasan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841273729 PECOS PAC ID: 8820078454 Enrollment ID: I20220510000596 |
Provider Name | Aliasger Ali |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1538696984 PECOS PAC ID: 5597156083 Enrollment ID: I20220812000020 |
Provider Name | Sharmila Devidoss |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1124169396 PECOS PAC ID: 1557684503 Enrollment ID: I20220913001567 |
Provider Name | Britney Brodmerkel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477142198 PECOS PAC ID: 8921483132 Enrollment ID: I20220923000522 |
Provider Name | Susan Bell |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1336285873 PECOS PAC ID: 7517122013 Enrollment ID: I20221110001101 |
Provider Name | Samantha Yearwood |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1932850427 PECOS PAC ID: 4284000852 Enrollment ID: I20221130000719 |
Provider Name | Rashmi Bisla |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1265758635 PECOS PAC ID: 0143531871 Enrollment ID: I20230220002063 |
Provider Name | Latoya Moseley Calloway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053081893 PECOS PAC ID: 1951774587 Enrollment ID: I20230302000683 |
Provider Name | Casey Chauffe Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114538923 PECOS PAC ID: 7214301845 Enrollment ID: I20230322003190 |
Provider Name | Simarjit Dhaliwal |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1255485900 PECOS PAC ID: 2264539188 Enrollment ID: I20230410000561 |
Provider Name | Herlecia Renay Caldwell-rhodes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649976630 PECOS PAC ID: 8426413691 Enrollment ID: I20230424001817 |
Provider Name | Zahily Fals |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1598078115 PECOS PAC ID: 6103121520 Enrollment ID: I20230516001928 |
Provider Name | Tonya Vernita Blair |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215638630 PECOS PAC ID: 2264898782 Enrollment ID: I20230525000475 |
Provider Name | Tiamarie Stevenson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811693435 PECOS PAC ID: 3274991195 Enrollment ID: I20230623002700 |
Provider Name | Kiwana Nicole Derrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871105320 PECOS PAC ID: 5294132478 Enrollment ID: I20231120002955 |
Provider Name | Jaydra Woods |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114319977 PECOS PAC ID: 5890014633 Enrollment ID: I20231227002692 |
Provider Name | Katherine Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205101110 PECOS PAC ID: 1254594955 Enrollment ID: I20240318002488 |
Provider Name | Cheryl Clayton |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1114979184 PECOS PAC ID: 5799720801 Enrollment ID: I20240405002588 |
Provider Name | Emily Omari |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891338026 PECOS PAC ID: 0749628998 Enrollment ID: I20240409001488 |
Provider Name | Laura Tharpe |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1093031460 PECOS PAC ID: 0244684348 Enrollment ID: I20240409003290 |
Provider Name | Cameron Simmons |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1902218043 PECOS PAC ID: 6800165184 Enrollment ID: I20240614002444 |
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