| Segue Health Partners Llc | |
|
765 Woodland Trace Ln Cordova TN 38018-6609 | |
| (901) 493-0111 | |
| Not Available |
| Full Name | Segue Health Partners Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 765 Woodland Trace Ln, Cordova, Tennessee |
| Authorized Official Name and Position | Steve Clark (CEO) |
| Authorized Official Contact | 9014930111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Segue Health Partners Llc 765 Woodland Trace Ln Cordova TN 38018-6609 Ph: (901) 493-0111 | Segue Health Partners Llc 765 Woodland Trace Ln Cordova TN 38018-6609 Ph: (901) 493-0111 |
| NPI Number | 1073040556 |
|---|---|
| Provider Enumeration Date | 05/16/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5496020521 |
|---|---|
| Medicare Enrollment ID | O20171006001746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073040556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ethel B Spivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447261797 PECOS PAC ID: 1658391222 Enrollment ID: I20051128000559 |
| Provider Name | Shannon R Atchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902950850 PECOS PAC ID: 3971524067 Enrollment ID: I20111020000652 |
| Provider Name | Nicole L Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942687355 PECOS PAC ID: 2567772502 Enrollment ID: I20151104000372 |
| Provider Name | Corey B Konemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043674930 PECOS PAC ID: 1052610623 Enrollment ID: I20160503001600 |
| Provider Name | Jenny M Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720446230 PECOS PAC ID: 4789977539 Enrollment ID: I20160801002047 |
| Provider Name | Austin K Pitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518415280 PECOS PAC ID: 4880981745 Enrollment ID: I20160921001699 |
| Provider Name | Kimberly Hoots |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265953186 PECOS PAC ID: 2466708649 Enrollment ID: I20180629002216 |
| Provider Name | Kaycee N Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154885531 PECOS PAC ID: 9931433323 Enrollment ID: I20190618002452 |
| Provider Name | Brian C Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154953107 PECOS PAC ID: 3173717352 Enrollment ID: I20200812000037 |
| Provider Name | Regina Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124298849 PECOS PAC ID: 5193895845 Enrollment ID: I20200930000487 |
| Provider Name | Julina Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548872526 PECOS PAC ID: 1557780848 Enrollment ID: I20201006002958 |
| Provider Name | Olga M Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013481522 PECOS PAC ID: 3577977149 Enrollment ID: I20210122002363 |
| Provider Name | Angela Vore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598371098 PECOS PAC ID: 5193139970 Enrollment ID: I20210208001156 |
| Provider Name | Deanna Nabors |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619939204 PECOS PAC ID: 2264423664 Enrollment ID: I20210831000500 |
| Provider Name | Joshua Naeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356818819 PECOS PAC ID: 1254764483 Enrollment ID: I20220121001547 |
| Provider Name | Lenora Diane Downs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790437895 PECOS PAC ID: 8325431406 Enrollment ID: I20220214001358 |
| Provider Name | Hannah Parks Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174177612 PECOS PAC ID: 4284033796 Enrollment ID: I20221228002469 |
| Provider Name | Amy Victor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952098840 PECOS PAC ID: 4486019833 Enrollment ID: I20230508002104 |
| Provider Name | Susan E Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316649189 PECOS PAC ID: 9335505551 Enrollment ID: I20230515000316 |
| Provider Name | Carrie Woodby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043518657 PECOS PAC ID: 7810119179 Enrollment ID: I20230622002349 |
| Provider Name | Kimberly Dawn Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861266017 PECOS PAC ID: 3577909118 Enrollment ID: I20240306001242 |
| Provider Name | Janet Susanne White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144087693 PECOS PAC ID: 0749626109 Enrollment ID: I20240308000453 |
| Provider Name | Paula Mae Montes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447866397 PECOS PAC ID: 4082054705 Enrollment ID: I20240429002490 |
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