| Olympic Consulting, Llc | |
|
4200 Stammer Pl Nashville TN 37215-3308 | |
| (615) 463-9900 | |
| (615) 463-8092 |
| Full Name | Olympic Consulting, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4200 Stammer Pl, Nashville, Tennessee |
| Authorized Official Name and Position | David Heusinkveld (PRESIDENT) |
| Authorized Official Contact | 6154639900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympic Consulting, Llc 4200 Stammer Pl Nashville TN 37215-3308 Ph: (615) 463-9900 | Olympic Consulting, Llc 4200 Stammer Pl Nashville TN 37215-3308 Ph: (615) 463-9900 |
| NPI Number | 1689652018 |
|---|---|
| Provider Enumeration Date | 01/05/2006 |
| Last Update Date | 11/14/2007 |
| Medicare PECOS PAC ID | 2466341185 |
|---|---|
| Medicare Enrollment ID | O20040311001022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689652018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David C Heusinkveld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962499582 PECOS PAC ID: 0941198352 Enrollment ID: I20040308000899 |
| Provider Name | Gregory Lee Gannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922136142 PECOS PAC ID: 9133159692 Enrollment ID: I20050816000125 |
| Provider Name | Pamela A Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386760635 PECOS PAC ID: 1153400239 Enrollment ID: I20080430000404 |
| Provider Name | Jennifer T Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629236708 PECOS PAC ID: 5193883015 Enrollment ID: I20081022000234 |
| Provider Name | Daphne C Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205175023 PECOS PAC ID: 8224274253 Enrollment ID: I20130418000199 |
| Provider Name | Denise Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033532585 PECOS PAC ID: 1153546130 Enrollment ID: I20140707002137 |
| Provider Name | Laura A Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861889305 PECOS PAC ID: 9931417284 Enrollment ID: I20151006001947 |
| Provider Name | Suzanne Elizabeth Zucconi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598273765 PECOS PAC ID: 9335401660 Enrollment ID: I20180326000402 |
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