| Nikki Realin, | |
|
135 Walker St, Sparta, TN 38583-1725 | |
| (931) 836-2201 | |
| Not Available |
| Full Name | Nikki Realin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 135 Walker St, Sparta, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447735311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 24271 (Tennessee) | Primary |
| Entity Name | State Of Tennessee |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487791315 PECOS PAC ID: 5698687077 Enrollment ID: O20031104000309 |
| Entity Name | Regional Healthcare Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407587363 PECOS PAC ID: 8224412234 Enrollment ID: O20220824003719 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikki Realin, 1100 England Dr, Cookeville, TN 38501-0924 Ph: (931) 520-4466 | Nikki Realin, 135 Walker St, Sparta, TN 38583-1725 Ph: (931) 836-2201 |
Lyndsay Herron, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 164 Churchill Dr, Sparta, TN 38583 Phone: 931-485-5995 | |
Jeanne Kay Thompson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Howell St, Sparta, TN 38583 Phone: 931-739-0048 | |
Ms. Laura Allese Snow, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Sam Walton Dr Ste 600, Sparta, TN 38583 Phone: 931-739-4000 | |
Anna V Benningfield, A.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 433 Sewell Dr, Sparta, TN 38583 Phone: 931-739-3000 Fax: 931-739-3013 | |
James Clark Childress, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 457 Vista Dr, Sparta, TN 38583 Phone: 931-738-3383 | |
Kelly Lyons, A.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 433 Sewell Dr, Sparta, TN 38583 Phone: 931-739-3000 Fax: 931-739-3013 |