Keri Maizan, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19935 Issued in TN

Practice address

305 Dover Rd
Clarksville, TN 37042-4157

Phone

(931) 552-6722

Fax

(931) 552-6979

NPI assigned

Apr 20, 2015

Last updated

Jul 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Keri Stephenson Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Tennessee, HSC, College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Womens Group of Franklin PLLCGroup PAC ID 1759360001, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Williamson Medical Center Hospital, Franklin, TN, CCN 440029

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Womens Group of Franklin PLLC

  • Obstetrics & Gynecology Physician
  • Franklin, TN
  • NPI 1578672408
  Medicare reassignment Care Compare group NPD
• Saint Thomas Medical Partners

  dba Ascension Medical Group Saint Thomas

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1437194669
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Williamson County Hospital District

  dba Williamson Medical Center

  • General Acute Care Hospital
  • Franklin, TN
  • NPI 1265445506
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1992192892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 DOVER RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424157",
            "telephone_number": "931-552-6722",
            "fax_number": "931-552-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 DOVER RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424157",
            "telephone_number": "931-552-6722",
            "fax_number": "931-552-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIZAN",
        "first_name": "KERI",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERI",
            "last_name": "STEPHENSON",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Magpie Emergency Physicians PLLC
• Mark Mahan
• Kanwal Maheshwari
• Arif Mahood, M.D.
• Chelsea Mains
• Paul A Maizan, D.M.D.
• Hanna N Major
• Alaina Cheryl Majors
• Angela L Majors
• Nikita K Makaila

• Family Nurse Practitioner in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.