BRIGHT STAR CHILD AND ADOLESCENT PSYCHIATRY LLC (NPI# 1609424274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609424274 |
| Entity Type | Organization |
| Organization Name | BRIGHT STAR CHILD AND ADOLESCENT PSYCHIATRY LLC |
| Practice Address |
681 Morganton Square Dr Maryville TN 37801-4763 |
| Practice Telephone | 8657241590 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | LINDA CABAGE (OWNER) |
| Authorized Official Telephone | 8657899377 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
681 MORGANTON SQUARE DR |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801-4763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659422053 | Cynthia J Easter | Pediatrics | 681 Morganton Square Dr, Maryville, TN 37801-4763 | 2007-01-15 |
| 1295350775 | Cynthia J Easter Md LLC | Clinic/Center | 681 Morganton Square Dr, Maryville, TN 37801-4763 | 2020-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
| 1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
| 1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
| 1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
| 1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
| Find all providers in zip 37801 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134677818 | Dixie Swanson | Pediatrics | 2705 Daventry Dr, Maryville, TN 37804-6141 | 2016-09-12 |
| 1205039955 | Jennifer Anne Loethen | Pediatrics | 5 Professional Park Dr, Maryville, IL 62062-5621 | 2007-06-08 |
| 1659422053 | Cynthia J Easter | Pediatrics | 681 Morganton Square Dr, Maryville, TN 37801-4763 | 2007-01-15 |
| 1326125428 | Blount Memorial Hospital, Inc. | Pediatrics | 212 Cates St, Maryville, TN 37801-4902 | 2006-11-01 |
| 1700807187 | Habibur Rahman | Pediatrics | 6828 State Route 162, Suite A, Maryville, IL 62062-8500 | 2006-07-21 |
| 1811921026 | Whitney Elizabeth Dee | Pediatrics | 616 W Lamar Alexander Pkwy, Maryville, TN 37801-3904 | 2006-07-11 |
| 1093744872 | Cindy Elaine Hoover | Pediatrics | 414 Greenbelt Dr, Maryville, TN 37804-5702 | 2006-07-02 |
| 1669416921 | Lori A Baxter | Pediatrics | Cedar Creek Pediatric & Adolescent Medicine, PC, 616 Smithview Drive, Maryville, TN 37803-6100 | 2006-06-16 |
| 1467613430 | Jenna Kathleen Neil Mccall | Pediatrics | 414 Greenbelt Dr, Maryville, TN 37804-5702 | 2008-06-22 |
| 1851591523 | Jennifer Dawn Krick | Pediatrics | 6828 State Route 162, Maryville, IL 62062-8500 | 2007-07-20 |
| Find all providers in MARYVILLE | ||||
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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.