CYNTHIA DIANE MANTOOTH (NPI# 1649742149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649742149 |
| Entity Type | Individual |
| Full Name | CYNTHIA DIANE MANTOOTH |
| Other Name | CYNTHIA DIANE BUCKNER |
| Credential | APRN |
| Practice Address |
815 W 5th North St Morristown TN 37814-3810 |
| Mailing Address |
6350 W Andrew Johnson Hwy Talbott TN 37877-8605 |
| Practice Telephone | 4235865032 |
| Practice Fax Number | 4235818473 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN165055 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
25247 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
815 W 5TH NORTH ST |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37814-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508860917 | Linda Susan Gourley | Nurse Practitioner | 815 W 5th North St, Morristown, TN 37814-3810 | 2005-06-13 |
| 1538776059 | Kyla Michelle Taylor | Technician, Pathology | 815 W 5th North St, Morristown, TN 37814-3810 | 2020-09-29 |
| 1245848480 | Rebecca Hope Gilley | Student in an Organized Health Care Education/Training Program | 815 W 5th North St, Morristown, TN 37814-3810 | 2020-07-14 |
| 1740813674 | Scottie Eugene Cox | Technician, Other | 815 W 5th North St, Morristown, TN 37814-3810 | 2020-02-19 |
| 1598395980 | Bibiana Antenorio Franklin | Technician, Other | 815 W 5th North St, Morristown, TN 37814-3810 | 2020-01-24 |
| 1043863665 | Mason Logan James | Technician, Other | 815 W 5th North St, Morristown, TN 37814-3810 | 2019-07-23 |
| 1184276024 | Juliana Cecelia Pressley | Case Manager/Care Coordinator | 815 W 5th North St, Morristown, TN 37814-3810 | 2019-07-11 |
| 1831741644 | Christin Nicole Collie | Student in an Organized Health Care Education/Training Program | 815 W 5th North St, Morristown, TN 37814-3810 | 2019-07-11 |
| 1841859410 | Rachel Betts | Registered Nurse | 815 W 5th North St, Morristown, TN 37814-3810 | 2019-06-07 |
| 1477112233 | Kaitlyn Paige Benson | Registered Nurse | 815 W 5th North St, Morristown, TN 37814-3810 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700357035 | Morristown Heart, Pllc | Internal Medicine | Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 | 2018-12-16 |
| 1669942207 | Amanda Madeline Still | Case Manager/Care Coordinator | 310 West Third North Street, Morristown, TN 37814 | 2018-11-27 |
| 1750858353 | April Caroline Lankford | Case Manager/Care Coordinator | 310 W 3rd North Street, Morristown, TN 37814 | 2018-11-01 |
| 1588165112 | Cara Victoria Jill Mcmahan | Registered Nurse | 310 W 3rd N Street, Morristown, TN 37814 | 2018-02-28 |
| 1770084303 | Janine Barnett | Case Manager/Care Coordinator | 210 W. 3rd North Street, Morristown, TN 37814 | 2018-02-28 |
| 1831616655 | Genoa Healthcare, LLC | Pharmacy | 310 W 3rd North St Ste Pharm, Morristown, TN 37814 | 2017-08-23 |
| 1124542113 | Jenny Lothamer Withem | Speech-Language Pathologist | 6205 Wintergreen Rd, Morristown, TN 37814 | 2017-08-01 |
| 1568998011 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Drive, Morristown, TN 37814 | 2017-05-03 |
| 1225587157 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Dr., Morristown, TN 37814 | 2016-10-04 |
| 1225406317 | Alps Adult Day Services | Clinic/Center | 600 N. Daisy St., Morristown, TN 37814 | 2015-09-08 |
| Find all providers in zip 37814 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023624319 | Andrea Lora Acquaviva-kimbrough | Nurse Practitioner | 1436 Crest View Cir, Morristown, TN 37814-1541 | 2020-09-22 |
| 1013523653 | Tina Marie Hurley | Nurse Practitioner | 4160 Azalea Ct, Morristown, TN 37814-6794 | 2020-09-18 |
| 1841756152 | Tina E Bowles | Nurse Practitioner | 1532 W Andrew Johnson Hwy, Morristown, TN 37814-3733 | 2019-02-12 |
| 1942765615 | Kristie Vaughn Greenlee | Nurse Practitioner | 1204 Walters Dr, Morristown, TN 37814-6138 | 2019-02-06 |
| 1427550847 | Sherri Elizabeth Carlisle | Nurse Practitioner | 420 W Morris Blvd Ste 410, Morristown, TN 37813 | 2018-03-01 |
| 1326585332 | Michael Hance | Nurse Practitioner | 313 E 3rd North St, Morristown, TN 37814-4450 | 2017-01-27 |
| 1659742567 | Lauren Claudia Kroening | Nurse Practitioner | 506 W Morris Blvd, Morristown, TN 37813-2132 | 2015-10-19 |
| 1275900011 | True Life Wellness | Nurse Practitioner | 4070 W Andrew Johnson Hwy, Morristown, TN 37814-1104 | 2015-08-27 |
| 1679966162 | Mountain Health Clinic, LLC | Nurse Practitioner | 310 Kensington Dr, Morristown, TN 37814 | 2015-03-09 |
| 1174913180 | Whitney Howington | Nurse Practitioner | 2261 Sandstone Dr, Morristown, TN 37814 | 2015-01-28 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 37814 |
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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.