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 |
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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 | 1659987436 |
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Provider Enumeration Date | 09/17/2020 |
Last Update Date | 11/17/2022 |
Medicare PECOS PAC ID | 4880004183 |
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Medicare Enrollment ID | O20201228000491 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659987436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
Provider Name | Shaminder Gupta |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1730183401 PECOS PAC ID: 1658322300 Enrollment ID: I20050210000022 |
Provider Name | Chakkungal Devidoss |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1104808302 PECOS PAC ID: 2668561978 Enrollment ID: I20080115000757 |
Provider Name | Kristin Fortier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306963723 PECOS PAC ID: 1850561218 Enrollment ID: I20110823000637 |
Provider Name | Kuntal P Mohare |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1821266446 PECOS PAC ID: 2466521760 Enrollment ID: I20141118001266 |
Provider Name | Crystal L Burke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801161690 PECOS PAC ID: 3971764192 Enrollment ID: I20150729007737 |
Provider Name | Pinky Patel |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1336382480 PECOS PAC ID: 7113235847 Enrollment ID: I20150930000998 |
Provider Name | Christen Keller Linton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841720174 PECOS PAC ID: 3779859897 Enrollment ID: I20171017003572 |
Provider Name | Shamika Nicole Calhoun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871019406 PECOS PAC ID: 7214295708 Enrollment ID: I20171209000084 |
Provider Name | Joy Fletcher Chairs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184138653 PECOS PAC ID: 2062774367 Enrollment ID: I20180327000783 |
Provider Name | Brandi M Ray Landry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134607484 PECOS PAC ID: 8426309543 Enrollment ID: I20180927003122 |
Provider Name | Amy Hicks Hector |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497210504 PECOS PAC ID: 5890036347 Enrollment ID: I20190409003620 |
Provider Name | Amy Lynn Paris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992366538 PECOS PAC ID: 9638400682 Enrollment ID: I20191007001261 |
Provider Name | Faye Bryant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205476835 PECOS PAC ID: 5597192617 Enrollment ID: I20200228002132 |
Provider Name | Brittney Gillyard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053893487 PECOS PAC ID: 7810327145 Enrollment ID: I20200428001103 |
Provider Name | Nichole Love-grove |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114466232 PECOS PAC ID: 2567734254 Enrollment ID: I20201102000046 |
Provider Name | Janel Latoya Milton-isom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326661232 PECOS PAC ID: 5193136570 Enrollment ID: I20201117000981 |
Provider Name | Noel Meikle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053887554 PECOS PAC ID: 7315278611 Enrollment ID: I20210408001314 |
Provider Name | Jenae V Poole |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255827218 PECOS PAC ID: 8921406554 Enrollment ID: I20211012000716 |
Provider Name | Mindy Banks |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1679765309 PECOS PAC ID: 4587880844 Enrollment ID: I20220210002807 |
Provider Name | Brooke Johnine Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548912033 PECOS PAC ID: 0345633392 Enrollment ID: I20220215001783 |
Provider Name | Catherine Norman Horn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023516341 PECOS PAC ID: 9830582790 Enrollment ID: I20220217000878 |
Provider Name | Carrie R Hyde |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1114260726 PECOS PAC ID: 1658696307 Enrollment ID: I20220325000460 |
Provider Name | Leslie Carnahan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801092424 PECOS PAC ID: 0244464980 Enrollment ID: I20220331000030 |
Provider Name | Kimberly May |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396492757 PECOS PAC ID: 3476930975 Enrollment ID: I20220524000078 |
Provider Name | Olivia Ann Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497429211 PECOS PAC ID: 8123406154 Enrollment ID: I20220603001425 |
Provider Name | Charisma Cummings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992227177 PECOS PAC ID: 5698047645 Enrollment ID: I20220714004243 |
Provider Name | Crystal Amanda Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104485010 PECOS PAC ID: 1355722216 Enrollment ID: I20220723000075 |
Provider Name | Sunita Pannachan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518512383 PECOS PAC ID: 5991189466 Enrollment ID: I20220901000380 |
Provider Name | Carmeshia Quinn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235651498 PECOS PAC ID: 3577817006 Enrollment ID: I20220919001246 |
Provider Name | Sharmila Devidoss |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1124169396 PECOS PAC ID: 1557684503 Enrollment ID: I20221102000568 |
Provider Name | Susan Bell |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1336285873 PECOS PAC ID: 7517122013 Enrollment ID: I20221116001603 |
Provider Name | Cameron Simmons |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902218043 PECOS PAC ID: 6800165184 Enrollment ID: I20230112001438 |
Provider Name | Rashmi Bisla |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1265758635 PECOS PAC ID: 0143531871 Enrollment ID: I20230223001628 |
Provider Name | Zahily Fals |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1598078115 PECOS PAC ID: 6103121520 Enrollment ID: I20230531001408 |
Provider Name | Simarjit Dhaliwal |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1255485900 PECOS PAC ID: 2264539188 Enrollment ID: I20230627000189 |
Provider Name | Samantha Yearwood |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1932850427 PECOS PAC ID: 4284000852 Enrollment ID: I20231108001114 |
Provider Name | Bernadine Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366772782 PECOS PAC ID: 3678853314 Enrollment ID: I20240105003027 |
Provider Name | Jaydra Woods |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114319977 PECOS PAC ID: 5890014633 Enrollment ID: I20240131001062 |
Provider Name | Laura Tharpe |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1093031460 PECOS PAC ID: 0244684348 Enrollment ID: I20240304003474 |
Provider Name | Katherine Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205101110 PECOS PAC ID: 1254594955 Enrollment ID: I20240328001518 |
Provider Name | Cheryl Clayton |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1114979184 PECOS PAC ID: 5799720801 Enrollment ID: I20240415002796 |
Provider Name | Meliha Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346779410 PECOS PAC ID: 1850663725 Enrollment ID: I20240610002359 |
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