MR. JOE DAVID MOTTERN (NPI# 1043257843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043257843 |
| Entity Type | Individual |
| Full Name | MR. JOE DAVID MOTTERN |
| Credential | FNP |
| Practice Address |
1410 Tusculum Blvd Suite 2300 Greeneville TN 37745-4286 |
| Mailing Address |
6701 Baum Dr Suite 140 Knoxville TN 37919-7360 |
| Practice Telephone | 4238235190 |
| Practice Fax Number | 4238235193 |
| Mailing Telephone | 8655845727 |
| Mailing Fax Number | 8654509904 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2012-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN00000100379 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN6999 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3903829 | 05 | |
| TN | 3903820 | 05 | |
| TN | UPIN | S58833 | 01 |
| TN | 3903821 | 05 | |
| TN | 3903822 | 05 | |
| TN | 3903827 | 05 |
| Street Address |
1410 TUSCULUM BLVD SUITE 2300 |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37745-4286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437145497 | Mark D Patterson | Surgery | 1410 Tusculum Blvd, Suite 1700, Greeneville, TN 37745-4286 | 2005-09-26 |
| 1194369330 | Greater Regional Eye Group | Optometrist | 1410 Tusculum Blvd, Greeneville, TN 37745-4286 | 2019-10-31 |
| 1295196905 | Jolene Slocum-hoffman | Audiologist | 1410 Tusculum Blvd, Suite 2500, Greeneville, TN 37745-4286 | 2016-03-09 |
| 1366814378 | John-thomas Carrino | Physician Assistant | 1410 Tusculum Blvd, Suite 2500, Greeneville, TN 37745-4286 | 2015-10-29 |
| 1982013751 | Amanda L Wright-brown | Nurse Practitioner | 1410 Tusculum Blvd, Suite 2200, Greeneville, TN 37745-4286 | 2014-08-06 |
| 1356611305 | Nolichuckey Management Services | Surgery | 1410 Tusculum Blvd, Suite 1700, Greeneville, TN 37745-4286 | 2012-01-09 |
| 1972743060 | Allergy Associates, Pa | Specialist | 1410 Tusculum Blvd, Suite 2300, Greeneville, TN 37745-4286 | 2009-03-02 |
| 1497931810 | Lawrence S. Dewitte | Physician Assistant | 1410 Tusculum Blvd, Suite 2500, Greeneville, TN 37745-5821 | 2008-01-16 |
| 1184819161 | Natalie Renee Duncan Scott | Surgery | 1410 Tusculum Blvd, Suite 1700, Greeneville, TN 37745-5818 | 2007-09-12 |
| 1225249964 | Patterson Mason & Flohr | Specialist | 1410 Tusculum Blvd, Ste 1700, Greeneville, TN 37745-4286 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409489 | Watauga Recovery Center Greeneville | Family Medicine | 819 W Church Street, Greeneville, TN 37745 | 2017-03-31 |
| 1154862340 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1404 East Church St, Greeneville, TN 37745 | 2017-03-20 |
| 1770024010 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1406 East Church Street, Greeneville, TN 37745 | 2017-03-20 |
| 1336685569 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1010 Old Stage Rd, Greeneville, TN 37745 | 2017-01-11 |
| 1750635298 | Matthew Brandon Allen | Pharmacist | 515 Van Hill Rd, Greeneville, TN 37745 | 2012-11-06 |
| 1083963466 | Addison Dimartino | Optometrist | 204 Emory Dr, Greeneville, TN 37745 | 2012-08-31 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| 1477786168 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1413 Tusculum Blvd, Greeneville, TN 37745 | 2009-08-27 |
| 1043458128 | Greenville Dental Associates, Pllc | Dentist | 1308 Tusculum Blvd., Greeneville, TN 37745 | 2009-01-28 |
| 1275779555 | Professional Hearing Aid Ctr | Hearing Aid Equipment | 705 Professional Plaza, #3, Greenville, TN 37745 | 2008-12-17 |
| Find all providers in zip 37745 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982715215 | Kelly Day Hodge | Nurse Practitioner | 810 W Church St, Greeneville, TN 37745-3285 | 2006-08-31 |
| 1730292186 | Linda K Cox | Nurse Practitioner | 4850 Andrew Johnson Highway, Gvdc, Greeneville, TN 37745 | 2006-08-17 |
| 1134601321 | Katrina F Holder | Nurse Practitioner | 555 Justis Dr, Greeneville, TN 37745-4288 | 2018-09-04 |
| 1396276267 | Alli N Rickels | Nurse Practitioner | 221 N Main St, Greeneville, TN 37745-3815 | 2017-03-23 |
| 1225436942 | Lori L Murdock | Nurse Practitioner | 1021 Coolidge Street, Ste 2, Greeneville, TN 37743 | 2014-12-11 |
| 1982013751 | Amanda L Wright-brown | Nurse Practitioner | 1410 Tusculum Blvd, Suite 2200, Greeneville, TN 37745-4286 | 2014-08-06 |
| 1255753810 | Terri Ratcliff | Nurse Practitioner | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2014-01-15 |
| 1992136469 | Paula Renner | Nurse Practitioner | 906 Tusculum Blvd, Greeneville, TN 37745-4004 | 2013-12-09 |
| 1215210943 | Randall Blake Bible | Nurse Practitioner | 1021 Coolidge St, Suite 3, Greeneville, TN 37743-4672 | 2011-09-20 |
| 1902050164 | Darla Kay Morgan | Nurse Practitioner | 5000 Monarch Pt, Greeneville, TN 37745-4275 | 2008-11-13 |
| Find all providers in GREENEVILLE | ||||
| City | GREENEVILLE |
| Zip Code | 37745 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.